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Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... requests as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are ... work at home, must be licensed..
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Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic ... members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied ... Responsibilities The Care Manager,..
... to meet an individual's comprehensive health needs through communication and available ... quality, cost-effective outcomes. Coordinate medical, behavioral and other services for beneficiaries ... have clinical experience in: pediatrics,..
Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... requests as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are ... however must be located and licensed..
... variable factors. Responsibilities The Senior Behavioral Health Professional has experience with requests ... markets for ASAM criteria, Mental Health First Aid, LOCUS, CANs, Trauma ... each state contract Required..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services ... and community members improve their..
... Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in ... Defense to administer the TRICARE health program for military members, retirees ... has strived to create..
... The Network Operations Lead maintains provider relations to support customer service ... integrity management and gathering of provider claims data needed for service ... The Network Operations Lead manages..
Description The Behavioral Health Care Coordinator, in a telephonic ... well being of members. The Behavioral Health Care Coordinator's work assignments are ... action. Responsibilities Job Description The Behavioral Health..
... focus organizational efforts on improving behavioral health (BH)/Substance Use Disorder (SUD) clinical ... develop sustainable, repeatable, and quantifiable behavioral health process improvements. They will work ... closely with the..
