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RN-CASE MANAGER - CASE MANAGEMENT - FULL TIME','Full-time','RN','FULL TIME','FULL TIME','80','80','Occasional','Occasional','ARKANSAS-HOT ... and other members of the health care team to achieve the ... the patient. ESSENTIAL FUNCTIONS: Care Management Plan..
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..
Description The Associate Director, Care Management leads teams of nurses and ... teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... of action. Responsibilities The Utilization Management Nurse 2..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... technology allows Responsibilities The Utilization Management Nurse 2..
... responsibility for establishing the Care Management and Chronic Condition Management programs and services utilized across ... leading implementation of the Care Management model and Chronic Condition strategy ... Directing..
... a company focused on the health and well-being of the people ... that is responsible for improving health outcomes and advancing the care ... main teams: Risk Adjustment and..
Description The Behavioral Health Care Manager, Telephonic Nurse 2 ... Humana is seeking a Behavioral Health Care Manager to telephonically assess, ... achieve and/or maintain their optimal health. The Behavioral..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical ... of excessive utilization of future health related services and to supplement ... services and to supplement Humana's..
Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are ... state As a Pre-Authorization Behavioral Health Professional..
... factors. Responsibilities The Senior Behavioral Health Professional has experience with requests ... providers on utilization and medical management processes. Begins to influence department's ... markets for ASAM criteria, Mental..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are..
Job Information Humana Care Manager, Telephonic Behavioral ... Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in ... Defense to administer the TRICARE health program for military members,..
... providing clinical guidance-to include case management of illnesses and injuries and ... illnesses and injuries and general health education and coaching-and monitoring all ... coaching-and monitoring all aspects of..