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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 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 ..
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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..
... and exciting career in home care. The program focuses on creating ... in the home. A clinical coach mentor, dedicated seasoned clinicians, and ... into your career in home..
... review of appropriateness of health care services, application of criteria to ... for referral to a Health Coach/case management, and identification and resolution ... analyzes the delivery of health..
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..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Pittsburgh Pennsylvania Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
... 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..
... 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..
... 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..
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes ..
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 ..
Job Information Humana Care Manager, Telephonic Nurse 2 - ... in Pittsburgh Pennsylvania Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing..
