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Description The Behavioral Health Strategy Lead (Behavioral Health Coordinator) shall have responsibility for clinical program development and oversight of staff and services related to the delivery of covered mental health and ..
Description Humana Healthy Horizons in Louisiana is seeking Associate Director, Provider Engagement will oversee a team of associates that grow positive, long-term relationships with contracted providers in order to drive high ..
Job Information Humana Consumer Experience Lead - Louisiana in Bogalusa Louisiana Description Humana Healthy Horizons in Louisiana is seeking a Consumer Experience Lead who will work across multiple service functional areas ..
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 Bogalusa Louisiana Description Humana ... 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 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 ..
... 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 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 ..
Job Information Humana Manager, Quality Compliance in Covington Louisiana Description Humana ... other quality operations, improvement, and compliance functions. Audits processes as needed ... Audits processes as needed for compliance...
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 ..
Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Utilization Management Nursing who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..
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 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 Humana Healthy Horizons in Louisiana is seeking RN Managers of Care Management who will lead our physical health/behavioral health care management operations and staff to ensure timely and culturally-competent delivery ..
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 Healthy Horizons in Louisiana is seeking a RN, Clinical Educator (Nursing Educator 2) who will plan, direct, coordinate, evaluate, develop, and/or deliver trainings and education programs for professional nursing, ..
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 Humana Healthy Horizons in Louisiana is seeking an Associate Director, Care Management who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and most ..
