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Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... Demonstration). Responsibilities The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... (EFMP). Auditing for quality and clinical compliance,..
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... Management Company dedicated to improving clinical and quality outcomes by bridging ... conducted by licensed and trained clinical practitioners who perform In-Home Wellness ... Job Description Summary Is the..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
... patient care while maintaining cost-effective clinical operations in accordance with all ... and administrative policies as the clinical leader, has the authority to ... and regulations. Ensures all FMS..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... for supporting new Medicaid Market..
Description Responsibilities The ACD Referral Authorization Coordinator Lead role will assist the Supervisor in oversight & monitoring of processing and timeliness standards for referrals and authorizations under the Autism Care Demonstration ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Clinical Analytics and Trend Program Manager ... in Birmingham Alabama Description The Clinical Strategy and Practice Lead builds ... strategies for development, engagement, best clinical practices and..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... techniques, data analysis,..