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Description The RN Care Manager in a telephonic environment, ... with resources appropriate for the care and well-being of members. The ... and well-being of members. The Care Manager, Telephonic..
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 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..
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 Care has..
... 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..
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 ..
... 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..
... Will Do Provide direct nursing care in accordance with established policies, ... organization. Implement and monitor patient care plans. Monitor, record and communicate ... all disciplines for well-coordinated patient..
... 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..
