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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 .....
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..
... Director relies on medical background and reviews health claims. The Medical ... is for the Humana Military team. Candidates may live anywhere in ... live anywhere in the US..
... 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 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..
Janitorial Zone Manager- Oahu, HI Job Description Identification ... Description Identification Job Title: Zone Manager Department: Operations Location: Hawaii FLSA ... Exempt Reports To: Regional Zone Manager Status: Full Time..
... 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..
... Medical Director - National Medicare Team in Honolulu Hawaii Description The ... Director relies on medical background and reviews preauthorization requests for services. ... Medical Director provides medical interpretation..
... 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..
Job Information Humana Director, Care Delivery and EMR/EHR Technology in Honolulu Hawaii ... an effective strategy for executing and delivering on IT business initiatives ... IT business initiatives specific to..
... Hawaii 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..
... 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 .....
... 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..
... 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 .....
