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Description The Senior Care Manager, Telephonic Behavioral Health , in ... with resources appropriate for the care and wellbeing of members. The ... wellbeing of members. The Senior Care Manager,..
... The Senior Behavioral Health Field Care Manager assesses and evaluates member's needs ... with resources appropriate for the care and wellbeing of members. The ... The Senior Behavioral Health..
... 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..
... years of direct clinical patient care experience post residency or fellowship, ... inpatient environment and/or related to care of a Medicare type population ... Qualifications Knowledge of the managed..
Job Information Humana Care Team Medical Director in San ... Juan Puerto Rico Description The Care Team Medical Director is responsible ... for improving the quality of care and outcomes..
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 ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... requested services, requested level of care, and/or requested site of service ... to internal associates, participation in care management and possible participation in ... management and possible participation in..
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..