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Description The Behavioral Health Strategy Lead (Behavioral Health Coordinator) shall have responsibility for clinical program development and oversight of staff and services related to the delivery of covered mental health and ..
Description Humana Healthy Horizons in Louisiana is seeking Associate Director, Provider Engagement will oversee a team of associates that grow positive, long-term relationships with contracted providers in order to drive high ..
... Care Management who will use clinical knowledge, communication skills, and independent ... comprehensive case management environment. Assure compliance with mandated and corporate policies ... and well-being of members. Maintain..
... Management Nursing who will use clinical knowledge, communication skills, and independent ... management functions. Coordinates with the Clinical Leadership team to ensure all ... all utilization reviews are in..
Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... (Behavioral Health) who will utilize clinical skills to support the coordination, ... and/or benefit administration determinations. The..
... Louisiana is seeking a RN, Clinical Educator (Nursing Educator 2) who ... and nonclinical personnel. The RN, Clinical Educator (Nursing Educator 2) work ... of action. Responsibilities The RN,..
Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..
Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..
... Management(Behavioral Health) who will use clinical knowledge, communication skills, and independent ... comprehensive case management environment. Assure compliance with mandated and corporate policies ... and well-being of members. Maintain..
... Advises case management and other clinical associates serving children and youth ... (EBPs). Ensures adherence to and compliance with all federal and state ... in Louisiana and is in..
... is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible ... Advise case management and other clinical associates serving members with SUD ... individual needs and for performing..
Description The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
... care, services, and supports in compliance with Louisiana Department of Health ... policies and procedures to ensure compliance with state and federal requirements ... health and wellness programs. Perform..
... in Louisiana is seeking a Manager, Utilization Management Nursing who will ... Management Nursing who will utilize clinical nursing skills to support the ... and/or benefit administration determinations. The..