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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 ..
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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 ..
... of high-quality and cost-effective patient care while achieving positive clinical outcomes, ... patient/family and employee satisfactionEnsure that care delivery is consistent with the ... regulations and licensing requirements.Mentor, educate,..
... services from short-term to long-term care and a wide variety of ... services. We are changing how care is delivered by bringing together ... a culture of compassion. We..
Job Information Humana Care Manager, Telephonic Nurse 2 - ... Portsmouth New Hampshire Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing..
... services from short-term to long-term care and a wide variety of ... services. We are changing how care is delivered by bringing together ... quality of life by providing..
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..
The Care Transitions Market Leader is responsible ... of quality, cost-effective services and care through a collaborative process that ... services from short-term to long-term care and a wide variety..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Portsmouth New Hampshire Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
... 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..
... 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..