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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 ..
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 ..
... 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..
... 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..
... 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..
... 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 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 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 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,..
... who will lead our physical health/behavioral health care management operations and staff ... compliance with Louisiana Department of Health (LDH) contractual requirements and industry ... disease management programs for..
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 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 ..
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..
... 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..
... 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..
... a Manager, Care Management (Behavior Health) who will lead our behavioral ... who will lead our behavioral health care management operations and staff ... compliance with Louisiana Department of..
... 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..
... 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 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 ..
