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... as all applicable State and Federal regulations, specifically Good Clinical Practice ... a facility/practice to oversee protocol compliance. Proactively addresses and acts upon ... in study related, internal, or..
Description The Behavioral Health Strategy Lead (Behavioral Health Coordinator) shall have responsibility for clinical program development and oversight of staff and services related to the delivery of covered mental health and ..
... in Louisiana is seeking a Manager, Community Management who will work ... equity and population health. The Manager, Community Management is responsible for ... based in Louisiana. Responsibilities The..
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management Nursing who will utilize clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit ..
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 ..
... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... activities pursuant to state and federal rules and regulations. This position ... out the provisions of the..
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 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 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 ..
Job Information Humana Manager, Quality Compliance in Franklin Louisiana Description Humana ... in Louisiana is seeking a Manager, Quality Improvement who will implement ... plan, and annual evaluation. The Manager,..
... maintained as well as full compliance with all Federal, State and Local laws and ... all medication needs and regulatory compliance standards are met for our ... will be..
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 ..
... 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..