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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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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..
... members covered through Mercy Managed Behavioral Health. Completes assessment of member needs ... member to support the member’s health care goals. May manage incoming ... provide assistance with authorizations..
Job Information Humana Director, Behavioral Health Strategy in Springfield Missouri Description ... in Springfield Missouri Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for..
... 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..
... 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..
... 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..
... 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 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..
... Criteria A) Collaborates with appropriate health team members for coordination of ... evidenced by documentation in the medical record. J) Assists physician with ... possible abuse/neglect to the Administrative..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Springfield Missouri ... in Springfield Missouri Description The Behavioral Health Quality Lead will report directly ... to the National Medicaid..
... 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..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) ... in Springfield Missouri 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..
... to Work.”Overview: Provides referral, authorization, medical review, and case management services ... members covered through Mercy Managed Behavioral Health. Assists with quality improvement program ... integration of QI processes..
