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Description This is a salaried exempt position with responsibility for utilization management oversight and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined in the TRICARE Operations Manual Chapter ..
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... the analysis of situations or data requires an in-depth evaluation of ... phase Obtain and synthesize complex data in order to tell t ... team (operations, technology, clinical partners,..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
Description The Referrals Coordinator 2 process referrals from Military ... and civilian providers. The Referrals Coordinator 2 performs varied activities and ... semi-routine assignments. Responsibilities The Referrals Coordinator 2 includes..
... Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment ... ACD program. The ACD Referral Coordinator performs varied activities with a ... semi-routine assignments. The ACD Referral..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Telephonic Care Coach -WAH Nationwide in Green Bay Wisconsin Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Green Bay Wisconsin Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
... complexity. Responsibilities The Care Coach Coordinator employs a variety of strategies, ... care through use of assessment, data, conversations with member, and active ... some interpretation. The Care Coach..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Network Operations Coordinator 4 maintains provider relations to ... support customer service activities through data integrity management and gathering of ... management and gathering of provider data needed..
