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... The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will ... CPT (Current Procedural Terminology) codes to ensure correct billing under TOM ... accordance with the ACD..
Description The Care Manager, Telephonic Nurse 2 , in ... evaluates members' needs and requirements to achieve and/or maintain optimal wellness ... with resources appropriate for the care and wellbeing..
... behavioral health knowledge and skills to support the coordination, documentation, and ... interpreting criteria, policies, and procedures to provide the best and most ... best and most appropriate treatment,..
Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic ... evaluates members' needs and requirements to achieve and/or maintain optimal wellness ... with resources appropriate for the care..
Job Information Humana Manager, Utilization Management RN - Remote in Anchorage Alaska ... in Anchorage Alaska Description The Manager, Utilization Management Nursing utilizes clinical ... Nursing utilizes clinical nursing skills..
... records reviews for Coordination of Care studies. Analyzes data and implement ... operating objectives, including their linkages to related areas. Makes decisions regarding ... Qualifications Associate Degree Registered Nurse..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional ... in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional ... assignments that involve moderately complex to complex issues..
Description The Behavioral Health Care Manager, Telephonic Nurse 2 , in ... evaluates members' needs and requirements to achieve and/or maintain optimal wellness ... with resources appropriate for the care..
... prior authorization requests for appropriate care and setting, following guidelines and ... approves services or forward requests to the appropriate stakeholder. The Supervisor, ... requiring analysis of variable factors..
Description The Care Coach 1 assesses and evaluates ... evaluates member's needs and requirements to achieve and/or maintain optimal wellness ... with resources appropriate for the care and wellbeing of..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex ... administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. ... team. Responsibilities The..