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Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 ... platforms, and progressive approaches to care drive Humana Military to be ... the Government. Responsibilities The Telephonic Care Manager will..
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 The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization Behavioral ..
... Degree in Business, Finance, Health Care or a related field Understanding ... Medicare Advantage Plans Prior value-based care or managed care experience Coding experience Additional Information ... and occasionally..
Description Responsibilities The Telephonic Care Manager will be part of ... part of the Humana Military Care Management team; providing a comprehensive, ... programs throughout the continuum of care. They..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Manager, Care Management leads teams of nurses ... behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines ... and goals. Responsibilities The..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description RN - Provider Clinical Liaison contributes to administration of utilization management. The RN - Provider Clinical Liaison work assignments involve moderately complex to complex issues where the analysis of situations ..
Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic Nurse..
... whose purpose is to provide care management program support resources to ... careers. At Partners in Primary Care, we're seeking innovative people who ... whole. Responsibilities CenterWell Senior Primary..
... shift to a work at home position as technology allows Responsibilities ... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers ... and Texas. CenterWell Senior Primary Care has..
Description The Care Coach 1 assesses and evaluates ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Coach 1 work..
Description The Senior Nursing Educator plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs for professional nursing personnel. The Senior Nursing Educator work assignments involve moderately complex to complex ..
... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Understands department, segment, ... Clinical experience in an acute..
... solid clinical background in acute care? Well, if you answered YES ... refers cases for annual follow-up care by disease management, case management, ... management, case management, and primary..
... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Understands department, segment, ... description Experience in acute inpatient..
