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Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who will utilize clinical skills to support the coordination, documentation, and communication of behavioral health services and/or ..
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Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..
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 Field Care Manager, Behavioral Health 2 assesses and ... of members. The Field Care Manager, Behavioral Health 2 work assignments ... well-being Responsibilities The Field Care Manager, Behavioral..
Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Care Management(Behavioral Health) who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..
Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care Manager Nurse 2 work assignments are ... action. Responsibilities The Field Care Manager, Behavioral..
Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..
Job Information Humana Manager, Quality Compliance in Columbia Louisiana ... in Louisiana is seeking a Manager, Quality Improvement who will implement ... plan, and annual evaluation. The Manager, Quality Improvement..
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Care Management (Behavior Health) who will lead our behavioral health care management operations and staff to ensure timely and culturally-competent delivery ..
Job Information Humana Manager, Quality Compliance in Grayson Louisiana ... in Louisiana is seeking a Manager, Quality Improvement who will implement ... plan, and annual evaluation. The Manager, Quality Improvement..