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... (EFMP), auditing for quality and clinical compliance, and case management. Serve ... documentation. Complete required audits of clinical records. Assist in entry and ... Ensure audits are entered for..
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 ..
Description The Senior Quality Improvement Professional will focus organizational efforts on improving behavioral health (BH)/Substance Use Disorder (SUD) clinical quality performance measures to achieve optimal performance and quality for the Humana ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Charleston West Virginia Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible ..
... unrestricted license to include: Licensed Clinical Social Worker (LCSW), Licensed Masters ... Licensed Masters Social Worker (LMSW-ACP), Clinical Psychologist with; Clinical experience in: pediatrics, behavioral health, ... of 1..
... of life and achieve desired clinical outcomes. As part of the ... for all activities within the clinical spectrum. This will include coordination ... (BH) Professional to include: Licensed..
Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on the ..
Job Information Centerwell Social Worker, Home Health in Beckley West Virginia The Medical Social Worker participates in the interdisciplinary care provided to home health patients. The Medical Social Worker functions to ..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
Description The Counselor 2 provides ongoing and crisis intervention focused on the emotional, social, vocational, educational, health-related, developmental, and organizational concerns that impact daily lives. The Counselor 2 work assignments are ..
Job Information Humana Assistant General Counsel, Home Solutions in Morgantown West Virginia Description The Assistant General Counsel provides a full range of legal advice and services. The Assistant General Counsel provides ..
Job Information Humana Assistant General Counsel, Home Solutions in Charleston West Virginia Description The Assistant General Counsel provides a full range of legal advice and services. The Assistant General Counsel provides ..
... Develop strategic initiatives for overseeing clinical integrity, especially for utilization and ... developing standards of care and clinical analytics, and serve as a ... oversight and activities. Represent the..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Charleston West Virginia Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Job Information Humana Assistant General Counsel, Home Solutions in Beckley West Virginia Description The Assistant General Counsel provides a full range of legal advice and services. The Assistant General Counsel provides ..
Job Information Humana Assistant General Counsel, Home Solutions in Huntington West Virginia Description The Assistant General Counsel provides a full range of legal advice and services. The Assistant General Counsel provides ..