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Description The Behavioral Health Strategy Lead (Behavioral Health Coordinator) shall have responsibility for ... the delivery of covered mental health and addiction services to children/youth, ... the Performance/Quality Improvement Coordinator,..
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Claims Research & Resolution (Claims Administrator) who will be responsible for the administration of a comprehensive claims processing system capable of ..
... a Manager, Utilization Management (Behavioral Health) who will utilize clinical skills ... documentation, and communication of behavioral health services and/or benefit administration determinations. ... The Manager, Utilization Management Behavioral..
Description The Social Determinants of Health (SDOH) Coordinator understands own work ... interpretation. Responsibilities Social Determinants of Health (SDOH) Coordinators (Care Management Support ... Case Managers (CM) and Community Health..
... The Field Care Manager, Behavioral Health 2 assesses and evaluates member's ... The Field Care Manager, Behavioral Health 2 work assignments are varied ... The Field Care Manager, Behavioral..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... determinations. The Utilization Management Behavioral Health Professional 2 work assignments are ... Responsibilities..
Description Humana Health Horizons in Louisiana is seeking ... Louisiana is seeking a Behavioral Health (BH) Children's System Administrator (Care ... System Administrator (Care Management Behavioral Health Lead) who will..
... an Associate Director, Care Management(Behavioral Health) who will use clinical knowledge, ... teams of nurses and behavioral health professionals responsible for care management. ... Associate Director, Care Management (Behavioral..
... Sales Field Agents sell individual health plan products and educate beneficiaries ... required for this position. Active Health Insurance license or ability to obtain ... proof of personal vehicle..
... other managers across departments and health plan. Conducts briefings and area ... providers, the Louisiana Department of Health (LDH), and other entities to ... with enrollee grievances for Physical..
Description Humana Health Horizons in Louisiana is seeking ... Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized ... to ensure contracted Specialized Behavioral Health Providers adheres to..
... The Field Care Manager, Behavioral Health (Care Manager, Behavioral Health RN) assesses and evaluates member's ... The Field Care Manager, Behavioral Health Registered Nurse employs a variety ... member's..
Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
Description The Community Health Worker/Care Management Support Professional 1 ... moderate complexity. Responsibilities Humana's Community Health Workers (CHW) serve as members ... functions, address social determinants of health (SDOH) needs,..