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Description Healthcare isn't just about health anymore. It's about caring for ... are a value based care provider focused on quality of care ... Care Coach Nurses, Medical Assistants, Behavioral..
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... Responsibilities The Medicaid Field Care Manager-Behavioral Health will perform telephonic and/or face-to-face ... wellbeing of the member. The Behavioral Health Field Care Manager will coordinate ... The Medicaid Field..
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 Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
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 ..
... 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..
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..
... Directing a team of Physical Health and Behavioral Health clinical leaders in fully developing ... for our industry-leading integrated Physical Health and Behavioral Health clinical model, including leading ongoing..
... 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..
... operational implementation with regard to Behavioral Health program. With no direct reports, ... on development and implementation of behavioral health program enhancements for Humana's Healthy ... plan. Position reports..
... 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 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..
... 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..
Description The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to support ... determinations. The Manager, Utilization Management Behavioral Health works within specific guidelines and ... Responsibilities..
... wellbeing of the member. The Behavioral Health Field Care Manager for Adult ... member's physical, environmental and psycho-social health issues by advocating, empowering and ... that hinder effective care..
