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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 ..
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 Care Management Support Assistant 2 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 ..
Louisiana, United States of America Job Family Group: Discipline Engineering Worker Type: Regular Posting Start Date: August 9, 2022 Business unit: Downstream Experience Level: Experienced Professionals Job Description: Position Purpose What’s ..
Description Humana Healthy Horizons in Louisiana is seeking an Administrative Assistant 2 who will follow established procedures and guidelines to provide timely and effective administrative support to our Medicaid Senior Leadership ..
Job Information Humana Manager, Quality Compliance in Laplace Louisiana Description Humana Healthy Horizons in Louisiana is seeking a Manager, Quality Improvement who will implement and monitor quality improvement program components, including ..
Description The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources ..
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 ..
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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 ..
Job Information Humana Manager, Quality Compliance in Garyville Louisiana Description Humana Healthy Horizons in Louisiana is seeking a Manager, Quality Improvement who will implement and monitor quality improvement program components, including ..
Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
Louisiana, United States of America Job Family Group: Process Engineering Worker Type: Regular Posting Start Date: August 22, 2022 Business unit: Downstream Experience Level: Experienced Professionals Job Description: Position Purpose What’s ..
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 ..
Louisiana, United States of America Job Family Group: Discipline Engineering Worker Type: Regular Posting Start Date: August 5, 2022 Business unit: Projects and Technology Experience Level: Experienced Professionals Job Description: Where ..
Description Humana Healthy Horizons in Louisiana is seeking a Crisis Service Liaison to join our growing team. The Crisis Service Liaison will have the primary responsibility of educating providers and those ..