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... 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 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,..
... 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 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 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..
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..
... 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..
... 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..
