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Description Humana Healthy Horizons in Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible for overseeing the development and implementation of Humana Medicaid's Addiction Services in Louisiana, serving ..
Description The Transition Coordinator (Care Coach 1) assesses and ... moderate complexity. Responsibilities The Transition Coordinator (Care Coach 1) assesses and ... wellbeing of members. The Transitions Coordinator: Focuses on..
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 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 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 ..