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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..
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 .....
... 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..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) ... Fargo North Dakota Description The Director, Behavioral Health (BH) Network and Market Strategy ... clinical models based on..
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..
... 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 Strategy in Fargo North Dakota ... Fargo North Dakota Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for..
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..
... 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..
... 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..
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..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Fargo North ... Fargo North Dakota Description The Behavioral Health Quality Lead will report directly ... to the National Medicaid..