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