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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..
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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..
... 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 Strategy in Green Bay Wisconsin ... Green Bay Wisconsin Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) ... Green Bay Wisconsin Description The Director, Behavioral Health (BH) Network and Market Strategy ... clinical models based on..
... 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..
... 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..
... 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..
... Provider Contracting Professional - TRICARE Behavioral Health in Green Bay Wisconsin Description ... provide corporate support to the Director of Provider Contracting and is ... review, Network Accreditation compliance/submission/on-site..
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 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 makes determinations regarding prior authorization ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Green Bay ... Green Bay Wisconsin Description The Behavioral Health Quality Lead will report directly ... to the National Medicaid..
