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Description The Director of Health Services for National Medicaid Clinical ... benefit administration determinations. The Director, Health Services requires an in-depth understanding ... delivery process. The Director of Health Services..
... direct responsibility for establishing the Care Management and Chronic Condition Management ... best and most appropriate treatment, care or services for members. Responsibilities ... and leading implementation of the..
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... variable factors. Responsibilities The Senior Behavioral Health Professional has experience with requests ... experience with requests for appropriate care and setting(s), guidelines and policies ... necessity review and level..
... a company focused on the health and well-being of the people ... role of Associate Vice President, Behavioral Health Strategy. In this role, you ... with responsibility for evolving..
... Hospital) is a 395-bed tertiary care, academic medical center located in ... necessary to provide specialized, complex care. This expertise includes cardiac, cancer, ... includes cardiac, cancer, neurosciences, women's..
Description The Lead Behavioral Health Medical Director oversees the work ... clinical case reviews of the care received by members in an ... case reviews themselves. The Lead Behavioral Health..
... a company focused on the health and well-being of the people ... of online traffic with Humana's field and Tele-sales agents Enhance and ... personalized medication list, and manage..
... access to resources related to health, employment, housing, and more. Equity ... practice. Student Supports School Mental Health: Ensures that students' behavioral and social-emotional needs are met ... are..
Job Information Humana Director, Behavioral Health Strategy in Washington District Of ... Of Columbia Description The Director, Behavioral Health (DBH) will ensure that populations ... Horizons have access to quality..
Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... toward resources appropriate for the care and well being of members. ... well being of members. The Behavioral..
Description The Care Manager, Telephonic Nurse 2, in a ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
... in order to prepare the Behavioral Health( BH) Clinical Team with the ... assigned by the BH Supervisor/ Manager or Director Required Qualifications Experience ... Qualifications Experience working with..
... a company focused on the health and well-being of the people ... personalized medication list, and manage health care needs protected by secure and ... benefits selection, benefits utilization,..
... Qualifications Associate Degree in any field Minimum 1 year Utilization Management ... Prior Authorization Minimum 1 year Care Management and/or Care Coordination Exposure to Behavioral Health incuding working knowledge..
Description The Project Manager supports the operational, financial, and ... project management functions of the Health Care Innovation Office, including the operation ... operation of APA's Mental & Behavioral Health..
... Required Skills/Knowledge Knowledge of the field and committed to its purpose. ... skill in dealing with common behavioral problems of children. Ability to ... consideration of patient’s medical, psychological,..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Washington District ... District Of Columbia Description The Behavioral Health Quality Lead will report directly ... strategy and operating model..
Job Information Humana Telephonic Behavioral Health Care Manager in Washington District Of Columbia ... District Of Columbia Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... with..
... domestic abuse, adolescent defiance, and behavioral challenges are some of the ... eligibility, address problems and provides care to youth and families. Monitors ... the needs of good physical..
... national strategic initiatives to provide care to women. This role will ... to address women's medical and behavioral needs for adolescents, post-menopausal women ... services and appropriate level of..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing ... coordination, documentation and communication of behavioral health services and/or benefit administration determinations. ... administration determinations. The Utilization Management..
