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... requested services, requested level of care, and/or requested site of service ... associates, and possible participation in care management. The clinical scenarios predominantly ... arise from inpatient or post-acute..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in ... Description Job Description Summary The Manager, Care Management leads teams of social ... for contributing to the multi-disciplinary care..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Riverton Wyoming Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..