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Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for ... and clinical compliance, and case management. Serve as a Humana Military/Humana ... Serve as a Humana Military/Humana..
Description Responsibilities The Utilization Management Nurse 2 will be responsible ... duties as assigned by Supervisor, Manager and/or Director. 5% Utilizes established ... year of prior experience in Behavioral Health..
... variable factors. Responsibilities The Senior Behavioral Health Professional has experience with requests ... requested services. Educate providers on utilization and medical management processes. Begins to influence department's ... markets..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing ... coordination, documentation and communication of behavioral health services and/or benefit administration determinations. ... and/or benefit administration determinations. The..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments..
... a company focused on the health and well-being of the people ... role of Associate Vice President, Behavioral Health Strategy. In this role, you ... with responsibility for evolving..
... a team environment on Humana's health plan accreditations, performing complex tasks ... a team environment on Humana's health plan accreditations, performing complex tasks ... of experience in Accreditation, Quality..
Job Information Humana Telephonic Care Manager in Pittsburgh Pennsylvania Description The ... Pennsylvania Description The Telephonic Care Manager will be part of the ... of the Humana Military Case Management..
... on medical background and reviews health claims. The Medical Director work ... Responsibilities Humana Government Business's (HGB) Behavioral Health Medical Director will provide clinical ... will provide clinical oversight..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Pittsburgh Pennsylvania Description ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the ... and clinical..
... SUMMARY This job implements effective utilization management strategies including: review of appropriateness ... including: review of appropriateness of health care services, application of criteria ... criteria to assure appropriate..
... 2 contributes to administration of utilization management. The UM Administration Coordinator 2 ... on semi-routine assignments. Responsibilities The Utilization Management (UM) Administration Coordinator 2 contributes ... in order to..
... any field Minimum 1 year Utilization Management such as, FER, Concurrent, Prior ... Authorization Minimum 1 year Care Management and/or Care Coordination Exposure to ... and/or Care Coordination Exposure..
Job Information Humana Director, Behavioral Health Strategy in Pittsburgh Pennsylvania Description ... Pittsburgh Pennsylvania Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for their..
... a company focused on the health and well-being of the people ... Responsibilities Key Responsibilities Leverage product management expertise to create simple, personalized ... personalized medication list, and manage..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... care strategy and/or operations. The Behavioral Health Medical Director work assignments involve ... Responsibilities..
... Responsibilities The Telephonic Nurse Case Manager will be a member of ... a member of the Case Management Team, providing a comprehensive, holistic ... comprehensive, holistic approach for case..
