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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 Senior Nursing Quality Outcomes Coordinator will partner with Hospital Quality, Safety, Regulatory and Hospital Risk as well as all leaders within the Division of Nursing to oversee or lead ..
... 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..
... 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 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 ) ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Bethesda Maryland Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
... 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 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..
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..
... safe, high quality, compassionate patient care. The Resource Nurse provides expert ... mentoring, and guidance in the care of patients, families, the community, ... assessment and guidance for patient..
Job Information Humana Care Manager, Telephonic Nurse 2 - ... District Of Columbia Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing..
Job Information Humana Care Manager, Telephonic Nurse 2 - ... in Bethesda Maryland Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing..
