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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
... work closely with the Quality Director, Behavioral Health Director, Quality Improvement Manager and those ... Competitive 401k match Generous Paid Time Off accrual Tuition Reimbursement Parent ... to providers..
... PURPOSE AND SCOPE: Functions as part of the hemodialysis health care ... for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF ... Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius..
... a Fee For Service Attending Physician/Medical Director for our Putnam Care Center, ... is a Dual Role Attending Physician/Medical Director. It is clinical in nature. ... Experience. Genesis Physician..
Description The Medical Director relies on fundamentals of CMS ... and reviewing appeals for Medicare Part C Line of Business. The ... C Line of Business. The Medical Director provides..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Charleston ... West Virginia Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
... Company-paid life insurance, 401K, Paid Time OffTuition, Travel, and Wireless Service ... DEI committee. DEI is a part of our company's DNA. Restrictions ... Join Genesis as a Unit..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Charleston West Virginia Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible ..
... outcomes, and process efficiencies. Completes medical necessity and level of care ... Educates providers on utilization and medical management processes. Enters and maintains ... pertinent clinical information in various..
... Product Manager role is a part of the Pharmacy Product & ... across Medicare, Medicaid and Commercial medical and pharmacy insurance products. Although ... include nurses, pharmacists and regional..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Charleston West Virginia Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the ..
... Company-paid life insurance, 401K, Paid Time OffEmployee Assistance Program to support ... DEI committee. DEI is a part of our company's DNA. Restrictions ... procedures. Position HighlightsReport to the..
... the Genesis team as the Director of Recreation Services where you ... Company-paid life insurance, 401K, Paid Time Off *Variable compensation plansInclusive workplace ... factors such as pay classification..