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Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization Behavioral ..
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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Working in a facility setting can be mentally and physically exhausting…On your feet all day running from patient to patient with little time to really connect with your clients and nonstop ..
Description The Field Care Manager Nurse 2 assesses and ... with resources appropriate for the care and wellbeing of members. The ... wellbeing of members. The Field Care Manager Nurse..
... platforms, and progressive approaches to care drive Humana Military to be ... Post Discharge Call (PDC) Telephonic Care Manager will be part of ... part of the Humana Military..
... coordinates and oversees all direct care patient services provided by clinical ... of patients, including updating of care plans and interpreting patient needs, ... and oversees the delivery of..
... Ensure provision of quality patient care while maintaining cost-effective clinical operations ... Compliance Program, and FMS patient care and administrative policies as the ... decisions to ensure continuity of..
... experience with requests for appropriate care and setting(s), guidelines and policies ... necessity review and level of care review for requested services. Educate ... address the BH levels of..
Description The Care Coach 1 assesses and evaluates member's ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Coach 1..
... North Carolina Description Humana's Primary Care Organization is one of the ... largest and fastest growing value-based care, senior-focused primary care providers in the country, operating ... Our Clinics..
Job Information Humana Care Manager, Telephonic Nurse 2 - ... Charlotte North Carolina Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing..
Description The Care Management Support Professional 1 contributes ... 1 contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care and wellbeing of..
... Carolina Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers ... and Texas. CenterWell Senior Primary..
... and coordination of clinically competent care including assessment, planning, intervention and ... Chronic Kidney Disease (CKD) health care team, the CAP RN 2 ... improvement activities that enhance patient..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Charlotte North Carolina Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
Job Information Centerwell RN Care Manager - Charlotte, NC - ... North Carolina Description The RN Care Manager assesses and evaluates member's ... with resources appropriate for the care and..