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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 .....
... 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..
... 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..
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..
... 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..
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..
... 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..
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..
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..
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..
... - 7040 Description direct patient care, hands-on care, or has skin-to-skin contact with ... previous management/supervisory experience in healthcare field. Prefer four (4) post certification ... positive light. Follows..
