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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 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..
... 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 Job Summary 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..
... 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..
... 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..
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..
... provides assessment, triage, and therapeutic management of patient/family needs throughout the ... function as first or second assistant on operative cases (as long ... and professional manner. 10% 3...
Description The WEEKEND 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..
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,..
... treatment/medications and discharge plans. 3. Information Management 3.1 The CNM ensures appropriate ... and regulatory requirements and protects information of all forms, whether computer-based, ... or accidental disclosure. 4...
... ADVANCED PRACTICE NURSE OR PHYSICIAN ASSISTANT OUTPATIENT GENERAL CARDIOLGY AND ELECTROPHYSIOLOGY ... provides assessment, triage, and therapeutic management of patient/family needs throughout the ... function as first or second..
... submits recommendations for appropriate change management. Applies clinical and coding experience ... of clinical experience within Home Health field Previous experience in medical ... or extensive experience in Home..
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..
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..
... purpose is to provide care management program support resources to physicians, ... country. Healthcare isn't just about health anymore. It's about caring for ... for members of Medicare Advantage..
... Centered Medical Home and provide health care in a setting where ... the NM displaying leadership in management, clinical practice, performance improvement and ... advanced skill in assessment of..
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 ..
