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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 ..
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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 ..
... 2 years of post-degree clinical experience in behavioral health setting Case ... behavioral health setting Case management experience Intermediate to advanced computer skills ... to advanced computer skills and..
Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..
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 ..
... (LAC). Five (5) years of experience working with children, adolescents, adults, ... behavioral health and/or developmental disabilities. Experience navigating the state's safety net ... be culturally sensitive and appropriate...
... Louisiana. Minimum Five (5) years' experience working in the healthcare setting. ... two (2) years of management/supervisory experience. Minimum one (1) year of ... one (1) year of work..
... or 5 years related work experience in healthcare quality improvement. 2 ... or more years of management/leadership experience. Understanding of healthcare quality measures ... measures STARS, HEDIS, etc. Prior..
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 ..
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 ..
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 ..
... to advanced computer skills and experience with Microsoft Word, Excel and ... more year of managed care experience Minimum two (2) years of ... (2) years of direct care..
About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the health care team to promote positive ..
