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Description The Manager, Care Management leads teams of nurses and ... teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines..
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Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... to answer provider/beneficiary inquiries. The Care Management..
... Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Glen Allen Virginia ... Allen Virginia Description The Behavioral Health Quality Lead will report directly to ... directly to the..
Description Responsibilities The Care Management Support Assistant 3 assists in ... TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) ... in accordance with the Autism..
Description The Care Management Support Assistant 3 contributes to ... 3 contributes to administration of care management. Provides non-clinical support to the ... with resources appropriate for the care and..
... requested services, requested level of care, and/or requested site of service ... associates, and possible participation in care management. The clinical scenarios predominantly arise ... arise from inpatient or..
... a company focused on the health and well-being of the people ... of Associate Vice President, Behavioral Health Strategy. In this role, you ... responsibility for evolving Humana's behavioral..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for ... and monitoring of the Autism Care Demonstration (ACD) including coordination of ... Member Plan (EFMP), auditing for..
... Carolina Medicaid (Utilization and Case Management) in Glen Allen Virginia Description ... to substantial. Responsibilities The Utilization Management (UM) and Case Management (CM) Process Improvement Lead for ... Process..
... contributes to administration of utilization management. The UM Administration Coordinator 2 ... semi-routine assignments. Responsibilities The Utilization Management (UM) Administration Coordinator 2 contributes ... order to prepare the Behavioral..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
... on medical background and reviews health claims. The Medical Director work ... Humana Government Business's (HGB) Behavioral Health Medical Director will provide clinical ... provide clinical oversight to Behavioral..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... identify clinical opportunities to improve health outcomes and improve the value ... and improve the value of care for..
... of the people. We provide quality care in an environment that feels ... **_- Sunrise Leader_** The Lead Care Manager functions as the lead to ... lead to a..
Description The Behavioral Health Medical Director makes determinations regarding ... issues regarding technical approach for project components, and work is performed ... Responsibilities Job Summary The Behavioral Health Medical Director's..
Description The Behavioral Health Medical Director responsible for behavioral ... Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... strategy and/or operations. The Behavioral Health Medical..
... Lead - Humana at Home Care Management Team- WAH Nationwide in Glen ... Allen Virginia Description About Humana Care Management: Are you passionate about the ... strategy focused on..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Glen ... Description Job Description Summary The Manager, Care Management leads teams of social work ... for contributing to the..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Glen Allen Virginia ... Virginia Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the ... and..
... Utilizes broad understanding of managed care and PBM knowledge to develop, ... mitigate cost trend and improve health outcomes. The Clinical Pharmacy Lead ... wholly owned hospice and palliative..