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Description The Behavioral Health Care Coordinator, in a telephonic environment, ... needs and requirements to achieve and/or maintain optimal wellness state by ... with resources appropriate for the care and..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads ... waste and abuse in the health care industry and its impacts on ... claims are not paying correctly or there..
Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, ... needs and requirements to achieve and/or maintain optimal wellness state by ... with resources appropriate for the..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Washington ... District Of Columbia Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..
... negotiates, and executes physician, hospital, and/or other provider contracts and agreements ... for an organization that provides health insurance. The Senior Provider Contracting ... where the analysis of situations..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic ... needs and requirements to achieve and/or maintain optimal wellness state by ... with resources appropriate for the..
Description The Care Coach 1 assesses and evaluates ... needs and requirements to achieve and/or maintain optimal wellness state by ... with resources appropriate for the care and wellbeing of..
... help members get the right care and information based on their ... based on their specific condition or needs. Beneficiaries qualify with the ... condition(s): Have a specific chronic..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... and communication of medical services and/or benefit administration determinations. The Utilization ... determinations...
Description The Care Management Support Assistant 3 contributes ... 3 contributes to administration of care management. Provides non-clinical support to ... needs and requirements to achieve and/or maintain optimal wellness..
... a company focused on the health and well-being of the people ... experience and vitality of the associate community. Through offerings anchored in ... seniors. As a OmniCare Clinical..
Description The Care Manager, Telephonic Nurse 2 , ... needs and requirements to achieve and/or maintain optimal wellness state by ... with resources appropriate for the care and wellbeing of..
Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... prior authorization requests for appropriate care and setting, follows guidelines and ... and policies, and approves services or..
Description The Associate Director, Problem, Incident and Event ... during periods of service disruption or outages to key technology platforms/applications. ... to key technology platforms/applications. The Associate Director, Problem, Incident..
... Social Worker - Telephonic Behavioral Health-SNP- WAH Nationwide in Washington District ... District Of Columbia Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic ... needs..
Description The Associate Actuary, Analytics/Forecasting analyzes and forecasts ... strategic and operational decisions within Care Delivery Finance. Evaluates industry, economic, ... financial and competitive position. The Associate Actuary, Analytics/Forecasting work..
... and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Washington District ... District Of Columbia Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic ... needs..
... where the analysis of situations or data requires an in-depth evaluation ... factors. Responsibilities The Senior Behavioral Health Professional has experience with requests ... experience with requests for appropriate..
... whose purpose is to provide care management program support resources to ... country. Healthcare isn't just about health anymore. It's about caring for ... careers. At Partners in Primary..
