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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..
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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..
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..
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..
Description The Manager, STARS Improvement develops, implements, and ... Stars improvement team. Responsibilities The Manager, STARS Improvement develops the programs ... designed to increase the plan quality and partners with..
... policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations ... Compliance Program, and FMS patient care and administrative policies as the ... decisions to ensure..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Pittsburgh Pennsylvania Description ... Pennsylvania Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the ... and..
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..
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..
... 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..
... 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..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Pittsburgh ... Description Job Description Summary The Manager, Care Management leads teams of social work ... for contributing to the..
... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... Description The Behavioral Economics Program Management Lead designs, executes, and measures ... experiments. The Behavioral Economics Program..
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..
... 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..
... Lead - Humana at Home Care Management Team- WAH Nationwide in Pittsburgh ... Pittsburgh Pennsylvania Description About Humana Care Management: Are you passionate about the ... strategy focused on..
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..
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 Pittsburgh Pennsylvania Description ... Pittsburgh Pennsylvania Description The Behavioral Health Quality Lead will report directly to ... directly to the..
... 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..
