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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description The Care Manager, Telephonic Behavioral Health 2 , ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
... in developing a robust integrated care delivery model that integrates insurance ... insurance with high value health care services, such as Primary Care, Home Care, and Pharmacy. Humana is..
... revisions; Implement Utilization Management and Care Management Compliance Audit team to ... assure high quality and compliant care is delivered across Medicaid; Implementing ... decisions and provide access to..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... platforms, and progressive approaches to care drive Humana Military to be ... the Government. Responsibilities The Telephonic Care Manager..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied ..
... promotion and disease prevention and care management services. The Wellness Coach ... individual regarding educational and health care needs. May communicate with primary ... needs. May communicate with primary..
Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. ..
Description The Care Coach 1 assesses and evaluates ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Coach 1 work..
Description Responsibilities The Telephonic Care Manager will be part of the ... part of the Humana Military Care Management team; providing a comprehensive, ... programs throughout the continuum of care...
Description The Care Management Support Assistant 3 contributes ... 3 contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care and wellbeing of..
... platforms, and progressive approaches to care drive Humana Military to be ... Post Discharge Call (PDC) Telephonic Care Manager will be part of the ... part of the Humana..
Description Humana is a $77 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
... experience with requests for appropriate care and setting(s), guidelines and policies ... necessity review and level of care review for requested services. Educate ... address the BH levels of..
Job Information Humana Telephonic Care Coach -WAH Nationwide in Lancaster ... Lancaster South Carolina Description The Care Coach 1, in a telephonic ... with resources appropriate for the care and..
... This role within the Autism Care Demonstration (ACD) Team, will work ... Team, will work closely with Care Management leaders and Subject Matter ... Case Management, Utilization Management and..
Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product Manager works on problems of diverse ... seniors. As a OmniCare Clinical Care Product..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
... experience for the ACD (Autism Care Demonstration) policy changes. Develop and ... measurements. 10% Working with ACD Care Management operational leaders, lead development ... healthcare or in a managed..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..
