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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Portsmouth New Hampshire Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..
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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... the direction of the Program Manager (PM) and with guidance from ... indicated and notifies inpatient program manager, appropriately credentialed physician, patient’s primary ... including but not limited to..
... as the orientation of all facility staff to FMS. Functions as ... PCT’s. Collaborates with the Clinical Manager and Education Coordinator in driving ... support to applicable clinical and..
Description The 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 for the ..
Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
... enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: ... the direction of the Clinical Manager (CM) and with the guidance ... Team Leader, Charge Nurse, Clinical..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
