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... and authorizations under the Autism Care Demonstration (ACD). Under direct clinical ... include data entry into medical management systems, assigning appropriate providers as ... Autism Services Navigator (ASN), Utilization..
... on medical background and reviews health claims. The Medical Director work ... requested services, requested level of care, and/or requested site of service ... associates, and possible participation in..
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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..
... a company focused on the health and well-being of the people ... Strategy Advancement for our Healthcare Quality Reporting and Improvement (HQRI) organization. ... that is responsible for improving..
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 The Care Manager, Telephonic Nurse 2 , in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
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..
... on medical background and reviews health claims. The Medical Director work ... issues regarding technical approach for project components, and work is performed ... colleagues and the Regional VP..
... making real improvements in member health outcomes. We're strategic and analytical, ... insights working within a Managed Care Plan. An operationally focused leader, ... cadence of analytics and performance..
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..
... leader and innovator in the health and wellness industry. A passionate ... culture. We're not just a health insurance company: our diverse lines ... in developing a robust integrated..
... on medical background and reviews health claims. The Medical Director work ... issues regarding technical approach for project components, and work is performed ... experience Knowledge of the managed..
... requested services, requested level of care, and/or requested site of service ... associates, and possible participation in care management. The clinical scenarios predominantly arise ... predominantly arise from inpatient,..
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..
