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Description The Care Manager, Telephonic Behavioral Health 2 , ... in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by .....
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Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of ... Member Plan..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Aberdeen ... Dakota Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... is responsible for the administration..
... Director relies on medical background and reviews health claims. The Medical ... Medical Director provides medical interpretation and decisions about the appropriateness of ... by other healthcare professionals in..
... Director relies on medical background and reviews health claims. The Medical ... uses their medical background, experience, and judgement to make determinations whether ... requested services, requested level of..
... makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that ... that members receive clinically appropriate and medically necessary services. All work .....
Description The Project Manager manages all aspects of a ... manages all aspects of a project, from start to finish, so ... it is completed on time and within budget...
... uses their medical background, experience, and judgement to make determinations whether ... requested services, requested level of care, and/or requested site of service should ... within a context of..
... given service or level of care. The Medical Director's work assignments ... that rely on clinical experience and knowledge of both medicine and social determinants of health. Responsibilities .....
Job Information Humana Director, Care Delivery and EMR/EHR Technology in Aberdeen South ... an effective strategy for executing and delivering on IT business initiatives ... IT business initiatives specific to..
... Medical Director - National Medicare Team in Aberdeen South Dakota Description ... Director relies on medical background and reviews preauthorization requests for services. ... Medical Director provides medical interpretation..
... Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical ... to Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. ... to integrate the..
... Director relies on medical background and reviews health claims. The Medical ... to Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. ... to integrate the day-to-day administration..
... Dakota Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's ... Provider Data..
