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... position with responsibility for utilization management oversight and clinical decision-making as ... as outlined in the Autism Care Demonstration (ACD) defined in the ... section 4. Responsibilities The UM..
Job Information Humana Manager, Behavioral Provider Contracting - Remote ... Green Bay Wisconsin Description The Manager, of Behavioral Health Provider Contracting ... area. Comprehensive knowledge of Managed Care in general..
Description The Care Manager, Telephonic Nurse 2 , in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... you succeed, we succeed! The..
Description The Care Management Support Assistant 3 contributes to ... 3 contributes to administration of care management. Provides non-clinical support to the ... with resources appropriate for the care and..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... to answer provider/beneficiary inquiries. The Care Management..
Description The Care Manager, Telephonic Behavioral Health 2 , ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
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..
... Director, Problem, Incident and Event Management drives technical support teams to ... Director, Problem, Incident and Event Management requires a solid understanding of ... Director, Problem, Incident and Event..
... experience for the ACD (Autism Care Demonstration) policy changes. Develop and ... customer experience, continuous improvement, change management, data integrity and process-level measurements. ... measurements. 10% Working with ACD..
... platforms, and progressive approaches to care drive Humana Military to be ... Post Discharge Call (PDC) Telephonic Care Manager will be part of the ... part of the Humana..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... process. The Associate Director, Utilization Management..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... and improve the value of care for our members. In this ... anywhere The Clinical Trend Program Manager (PM)..
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..
... This role within the Autism Care Demonstration (ACD) Team, will work ... Team, will work closely with Care Management leaders and Subject Matter Experts ... in the areas of..
Description The Manager, Care Management leads teams of nurses and ... behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and ... schedules and..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... and monitoring of the Autism Care Demonstration (ACD) including coordination of ... and clinical compliance, and case management. Serve..
Description The Director of Product Management for Clinical Pharmacy Products develops ... As the Director of Product Management for Clinical Pharmacy Products, you ... Humana's Pharmacy-based product strategies, product management..