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Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who will utilize clinical skills to support the coordination, documentation, and communication of behavioral health services and/or ..
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 Medicaid Housing Specialist (Care Management Support Professional 1)contributes to ... Professional 1)contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care..
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 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..
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 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 ..
... 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..