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Description Humana Healthy Horizons in Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible for overseeing the development and implementation of Humana Medicaid's Addiction Services in Louisiana, serving ..
... 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..
... in recovery from a behavioral health condition (mental health, substance use, or co-occurring) who ... others who are experiencing behavioral health challenges and receiving behavioral health services. The Peer..
... 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..
... contracted working relationship with the health plan. The Provider Engagement Professional ... 1 - 5 years of Health care or managed care with ... proof of personal vehicle liability..
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..
Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
... community-based organizations to improve enrollee health outcomes Coordinate Humana's medical respite ... to the Louisiana Department of Health (LDH) and network providers regarding ... social work or counseling, public..
... contact for Louisiana Department of Health (LDH) and other agencies such ... to the Louisiana Department of Health (LDH) and other duly authorized ... regulations, Medicaid, managed care, and..
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 Transition Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate ..
... 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..
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 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,..
... 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..
