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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..
... 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..
... 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..
... Summary: Under the direction of Director of Care Management and Therapy ... assigned by Charge Nurse or Director. Leads and co-leads milieu activities ... appropriate individual goals, expectations and..
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..
Job Information Humana Director, Behavioral Health Strategy in Pittsburgh Pennsylvania Description ... in Pittsburgh Pennsylvania Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for..
... a Social Worker with Fresenius Medical Care, you will provide psychosocial ... You will work with the health care team to promote positive ... understanding the emotional, psychological, and..
... 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..
... 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..
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..
... 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 .....
... collaboration with a East End Behavioral Health Hospital staff physician, supervised by ... supervised by the CEO of Behavioral Health, and in conjunction with the ... and in conjunction..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) ... in Pittsburgh Pennsylvania Description The Director, Behavioral Health (BH) Network and Market Strategy ... clinical models based on..
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..
... 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 Nationwide Medicaid Behavioral Health Quality Lead in Pittsburgh Pennsylvania ... in Pittsburgh Pennsylvania Description The Behavioral Health Quality Lead will report directly ... to the National Medicaid..
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..
... an immediate opportunity for an Director of Admissions General Summary: The ... of Admissions General Summary: The Director of Admissions is responsible for ... admission process and staff. The..
