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... in Louisiana is seeking an Associate Director, Care Management who will use clinical ... best and most appropriate treatment, care or services for members. He/she ... behavioral health professionals..
... in Louisiana is seeking an Associate Director, Utilization Management Nursing who ... best and most appropriate treatment, care or services for members. He/she ... responsible for utilization management. The..
... home health patients. Administer on-going care and case management for each ... initial patient assessment. Provide hands-on care, management and evaluation of the ... management and evaluation of the..
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 ..
... ensure appropriate utilization of health care resources for members though review ... method of correspondence to assure care needs are being met and ... and informal complaints, quality of..
Description The Field Care Manager, Behavioral Health 2 assesses ... with resources appropriate for the care and wellbeing of members. The ... wellbeing of members. The Field Care Manager, Behavioral..
Description A Peer Support Specialist (Care Management Support) is a person ... the behavioral health system of care is to provide supportive services, ... their peers, which allows for personal..
Description The Field Care Manager Nurse 2 assesses and ... with resources appropriate for the care and wellbeing of members. The ... wellbeing of members. The Field Care Manager Nurse..
Description The Provider Relations/Engagement Professional 2 develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted ..
Description The Community Health Worker/Care Management Support Professional 1 contributes ... 1 contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care and..
