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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 ... Member Plan (EFMP). Auditing for quality and..
... advocate environment focused on high quality outcomes versus activities. Our department primarily ... of their care. We value quality work as every action taken ... the member and avoid..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Anchorage Alaska Description ... Alaska Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... concerns. Keep Director informed of clinical issues; triage problems, staffing issues, ... procedures, and protocols. Establish clear clinical expectations for patient care using ... members and advises staff on..
... Member Plan (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..
... position is accountable for the quality of nursing services delivered by ... In addition to our exceptional clinical environment, our location offers incomparable ... progress towards goals and expected..
... and available resources to promote quality, cost-effective outcomes. Coordinate medical, behavioral and other ... unrestricted license to include: Licensed Clinical Social Worker (LCSW), Licensed Masters ... Licensed Masters Social..
... Member Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve ... documentation. Complete required audits of clinical records. Assist in entry and ... compliance with ACD...
... strived to create better health outcomes and simplified experiences for millions ... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... interaction with beneficiaries to address..
... development. Is accountable for the quality of nursing services delivered by ... In addition to our exceptional clinical environment, our location offers incomparable ... progress towards goals and expected..
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 ..
... Health Medical Director will provide clinical oversight to Behavioral Health (BH) ... Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. They ... population health management, contract compliance,..
... strived to create better health outcomes and simplified experiences for millions ... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... capacity for self-care to enhance..
