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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..
... 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..
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 ..
... 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..
... 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,..
... Louisiana is seeking a RN, Manager of Care Management to lead ... care, services, and supports in compliance with our Louisiana Department of ... policies and procedures to ensure..
... in Louisiana is seeking a Manager, Care Management (Behavior Health) who ... care, services, and supports in compliance with Louisiana Department of Health ... policies and procedures to ensure..
... 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..
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 ..
... 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..