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Description The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..
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 ..
Job Information Humana Manager, Quality Compliance in Oakdale Louisiana Description Humana ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...
Job Information Humana Manager, Quality Compliance in Church Point Louisiana Description ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...
... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..
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 Pine Prairie Louisiana Description ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...
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 ..
Job Information Humana Manager, Quality Compliance in Oberlin Louisiana Description Humana ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...
