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... appointment availability, collaborating with Field Operations to address network inadequacy, and ... as outlined in the TRICARE Operations Manual (TOM), the TRICARE Reimbursement ... Electronic Questionnaire for Investigation Processing)...
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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 ..
Description The Patient Care Coordinator represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..
Job Information Humana Compact License-Utilization Management Behavioral Health Professional 2--Remote, MI, NV, CA, OH in Cincinnati Ohio Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Cincinnati Ohio Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..
Job Information Humana Telephonic Care Manager in Cincinnati Ohio Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral ..
... be identifying and utilizing appropriate healthcare resources most consistent with the ... by providing guidance along the healthcare continuum. You will perform clinical ... promote efficient use of the..
... physical health/behavioral health care management operations and staff to ensure timely ... quality patient care and effective operations. Collaborate with relevant internal and ... years' experience working in the..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
... our behavioral health care management operations and staff to ensure timely ... quality patient care and effective operations. Collaborate with relevant internal and ... years' experience working in the..
Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff to ..
... Contacts Representative 1 (Patient Care Coordinator) represents the company by addressing ... Contacts Representative 1 (Patient Care Coordinator) performs basic administrative/clerical/operational/customer support/computational tasks. ... Contacts Representative 1 (Patient Care..
