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... and commercial carriers, including managed care and other market forces on ... other market forces on health care delivery. They ensure that their ... quality and efficient delivery of..
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... as a Pulmonary Fibrosis Foundation Care Center Network, as a Scleroderma ... to ensure coordination of patient care across the continuum . EEO/AA/Disability/Veteran ... of best practices, standards 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..
... 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..
... to ensure coordination of patient care across the continuum. EEO/AA/Disability/Veteran Responsibilities ... of best practices, standards of care, benchmarks, and evidence-based treatment guidelines ... medical team, provides continuity of..
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 ..
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..
