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... is seeking an Associate Director, Care Management who will use clinical ... best and most appropriate treatment, care or services for members. He/she ... behavioral health professionals responsible for..
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Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Utilization Management Nursing who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..
... is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible ... in the development of comprehensive care programs for Louisiana's youth and ... and appropriate delivery of addiction..
Description The Field Care Manager, Behavioral Health 2 assesses and ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Field Care..
... in Louisiana is seeking a Manager, Utilization Management Nursing who will ... and/or benefit administration determinations. The Manager, Utilization Management Nursing applies a ... prior authorization and referrals to..
... ensure appropriate utilization of health care resources for members though review ... method of correspondence to assure care needs are being met and ... and informal complaints, quality of..
Description The Field Care Manager Nurse 2 assesses and evaluates ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Field Care..
... Determinants of Health (SDOH) Coordinators (Care Management Support Professional) have regionally ... resource for Enrollees not in care management to connect with needed ... Monitor enrollee compliance with their..
Description The Community Health Worker/Care Management Support Professional 1 contributes ... 1 contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care and..
... is seeking RN Managers of Care Management who will lead our ... lead our physical health/behavioral health care management operations and staff to ... timely and culturally-competent delivery of..
Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies ... prior authorization and referrals to..
Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to ... Professional 1)contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care..
... is seeking an Associate Director, Care Management(Behavioral Health) who will use ... best and most appropriate treatment, care or services for members. He/she ... behavioral health professionals responsible for..
