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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..
... 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..
... 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..
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..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... coordination, documentation and communication of behavioral health services and/or benefit administration determinations. ... administration determinations. The Utilization..
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 Care Manager, Telephonic Nurse 2, in a telephonic environment, ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care..