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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 Tulsa ... Oklahoma 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..
... to integrate the day-to-day administration and strategic management of behavioral and physical health services, including utilization ... services, including utilization management (UM), quality improvement, and value-based payment programs. The..
... Oklahoma 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..
... 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..
... 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..
... 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..
... this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... part of a close-knit, collaborative team..
... 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 .....
... Medical Director - National Medicare Team in Tulsa Oklahoma Description The ... Director relies on medical background and reviews preauthorization requests for services. ... Medical Director provides medical interpretation..
... 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 Tulsa Oklahoma ... an effective strategy for executing and delivering on IT business initiatives ... IT business initiatives specific to..
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...
