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... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... contact with patients, physicians, clinical manager(s), other members of the healthcare team in a timely manner .....
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Claims Research & Resolution (Claims Administrator) who will be responsible for the administration of a comprehensive claims processing system capable of ..
Description Humana Healthy Horizons in Louisiana is seeking a Crisis Service Liaison to join our growing team. The Crisis Service Liaison will have the primary responsibility of educating providers and those ..
Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..
Description The Field Care Manager, Behavioral Health 2 assesses and ... of members. The Field Care Manager, Behavioral Health 2 work assignments ... well-being Responsibilities The Field Care Manager, Behavioral..
Job Information Humana Manager, Quality Compliance in Mansfield Louisiana ... in Louisiana is seeking a Manager, Quality Improvement who will implement ... plan, and annual evaluation. The Manager, Quality Improvement..
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 Castor Louisiana ... in Louisiana is seeking a Manager, Quality Improvement who will implement ... plan, and annual evaluation. The Manager, Quality Improvement..
Job Information Humana Manager, Quality Compliance in Coushatta Louisiana ... in Louisiana is seeking a Manager, Quality Improvement who will implement ... plan, and annual evaluation. The Manager, Quality Improvement..
Description Humana Healthy Horizons in Louisiana is seeking Behavioral Health Liaisons to join our growing team. The Behavioral Health (BH) Liaisons will be responsible for ensuring connection, coordination, outreach, education, and ..
