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... brand for a primary care medical group practice with centers open ... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide..
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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... administration..
... a company focused on the health and well-being of the people ... role of Associate Vice President, Behavioral Health Strategy. In this role, you ... with responsibility for evolving..
Description The Lead Behavioral Health Medical Director oversees the work of 2 ... oversees the work of 2 Medical Directors who conduct clinical case ... case reviews themselves. The Lead..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex..
... focus organizational efforts on improving behavioral health (BH)/substance use disorder (SUD) clinical ... develop sustainable, repeatable, and quantifiable behavioral health process improvements. They will work ... work closely with..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Charlotte North ... Charlotte North Carolina Description The Behavioral Health Quality Lead will report directly ... to the National Medicaid..
Job Information Humana Director, Behavioral Health Strategy in Charlotte North Carolina ... Charlotte North Carolina Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for..
Medical Group and Hospital located in ... Medicine physician to serve as Medical Director.nHighlights include:nnHospital employednHospital privileges at a ... OBGYN, Orthopedics, Primary Care, Oncology, Behavioral Health, Cardiology, and UrologynStrong..
Job Information Humana Medical Director of Long Term Care, Florida ... Description The Long Term Care Medical Director supports the Long Term Care ... with contractual requirement. Responsibilities The Medical..
... D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral ... of care. Follows level of medical care and quality for patients ... hospital and SNF coordination,..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Humana Government Business's (HGB) Behavioral Health Medical Director..
... in order to prepare the Behavioral Health( BH) Clinical Team with the ... the BH Supervisor/ Manager or Director Required Qualifications Experience working with ... Qualifications Experience working with..
... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The Director of Clinical Strategy has direct ... members. Responsibilities The National Medicaid..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) ... Charlotte North Carolina Description The Director, Behavioral Health (BH) Network and Market Strategy ... clinical models based on..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical..
... RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support ... coordination, documentation, and communication of medical services. Enjoy the flexibility of .....
... Healthy Horizons is seeking a Medical Director to help develop and execute ... develop initiatives to address women's medical and behavioral needs for adolescents, post-menopausal women ... role requires..