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Description The WEEKEND 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 ..
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 ..
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 ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Dover Delaware Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
Description The Director, Health Services Nursing serves as the strategic leader for Humana Behavioral Health Utilization Management Inpatient services - including all clinical (inpatient and some OP medical necessity oversight ) ..
... in volume among leading health care systems, with only 20 hospitals ... a Level III neonatal intensive care unit (NICU) , which offers ... ChristianaCare has offered advanced neonatal..
Job Information Humana Care Manager, Telephonic Nurse 2 - ... in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing..
... 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..
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..
... 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..
