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Description Humana Healthy Horizons in Louisiana is seeking a RN, Manager of Care Management to lead our Maternal-Child health care management operations and staff for the Moms First program, to ensure ..
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management Nursing who will utilize clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit ..
Description Humana Healthy Horizons in Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible for overseeing the development and implementation of Humana Medicaid's Addiction Services in Louisiana, serving ..
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 Humana Health Horizons in Louisiana is seeking a Behavioral Health (BH) Children's System Administrator (Care Management Behavioral Health Lead) who will advise on program features to reach members and drive ..
... 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 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 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 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 ..
Description The Medicaid Housing Specialist (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 ..
Job Information Humana Manager, Quality Compliance in Breaux Bridge Louisiana Description ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...
Job Information Humana Manager, Quality Compliance in Maurice 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 Abbeville 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 Franklin 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 Lafayette Louisiana Description Humana ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...
