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... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies ... policies and procedures to ensure..
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 ..
... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..
Job Information Humana Manager, Quality Compliance in Covington Louisiana Description Humana ... in Louisiana is seeking a Manager, Quality Improvement who will implement ... plan, and annual evaluation. The Manager,..
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 Healthy Horizons in Louisiana is seeking an Associate Director, Care Management(Behavioral Health) who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..
Description Title: Bartender Status: Part Time / Non-Exempt Purpose/ Summary: To provide hospitable service to all bar top guests while making and serving gold standard beverages for the entire restaurant within ..
Description Humana Health Horizons in Louisiana is seeking a Behavioral Health (BH) Children's System Administrator (Care Management Behavioral Health Lead) who will advise on program features to reach members and drive ..
Description Title: Service Assistant Status: Part Time / Non-Exempt Purpose/ Summary: To assist servers in providing exceptional service while maintaining dining room cleanliness and clearing and setting table within 2 minutes. ..
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 ..
... mechanical problems to the kitchen manager immediately. o Assumes 100% responsibility ... as assigned by the Kitchen Manager or manager-on-duty. Operational Execution o Maintain personal ... and workshops o..
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 ..
