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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..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are .....
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... focus organizational efforts on improving behavioral health (BH)/Substance Use Disorder (SUD) clinical ... develop sustainable, repeatable, and quantifiable behavioral health process improvements. They will work ... closely with the..
... 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..
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..
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..
... 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..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Indianapolis Indiana ... in Indianapolis Indiana Description The Behavioral Health Quality Lead will report directly ... strategy and operating model..
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..
... 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..
... 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..
Job Information Humana Director, Behavioral Health Strategy in Indianapolis Indiana Description ... Indianapolis Indiana Description The Director, Behavioral Health (DBH) will ensure that populations ... Horizons have access to quality..
... 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..
... 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,..
... 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..
... provider claims submissions, and high-quality care delivery among network providers leading ... group, LTSS/HCBS, non-hospital facilities, Rural Health Clinics, behavioral health providers, FQHCs and other healthcare ... contracted working..
Description The Social Services Care Manager, in a telephonic environment, assesses ... with resources appropriate for the care and wellbeing of members. Responsibilities ... 9:30am - 6pm EST. The Care..
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 Manager, Quality Improvement implements quality improvement ... and implements new and existing health plan quality improvement initiatives, including ... Diagnosis and Testing (EPSDT). The Manager, Quality Improvement works..
Job Information Humana Telephonic Behavioral Health Care Manager in Indianapolis Indiana Description The ... in Indianapolis Indiana Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... with..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in ... Defense to administer the TRICARE health program for military members, retirees ... has strived to create..
