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... of daily living. 5. Monitor medical, physical and behavioral changes in individuals on a ... RN Program Coordinator or Program Director as it occurs, is observed ... Monitor and..
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Description The Director of Health Services for National Medicaid Clinical ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... and/or benefit administration determinations. The Director, Health..
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..
... 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 Summary 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...
Description The Director, Health Services Nursing serves as the ... the strategic leader for Humana Behavioral Health Utilization Management Inpatient services - ... clinical (inpatient and some OP medical necessity..
... 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..
... have an interest in a Medical Director role with a leading community ... role with a leading community behavioral health organization, this position should be ... salary and generous..
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..
... under the direction of the Director of Clinical Services. Responsibilities Utilizes ... interprets data and information from health care members and documents actual ... according to evaluation, changes in..
... 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..
... 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 .....
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..
... Review As a post-acute care medical director and primary care physician you ... care most appropriate for their medical needs upon discharge including returning ... service providers in wound..
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..
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..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Bridgeport Connecticut ... in Bridgeport Connecticut Description The Behavioral Health Quality Lead will report directly ... to the National Medicaid..
Job Information Humana Director, Behavioral Health Strategy in Bridgeport Connecticut Description ... in Bridgeport Connecticut Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for..
... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical records review will be conducted ... assigned by Supervisor, Manager and/or..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) ... in Bridgeport Connecticut Description The Director, Behavioral Health (BH) Network and Market Strategy ... clinical models based on..