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Description Humana Healthy Horizons in Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible for overseeing the development and implementation of Humana Medicaid's Addiction Services in Louisiana, serving ..
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Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management Nursing who will utilize clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit ..
... concurrent review, prior authorization and referrals to care management. Oversee, monitor, ... psychiatric and mental health. Two (2) or more years of clinical ... experience in utilization management. Two..
... Social Determinants of Health (SDOH) Coordinator understands own work area professional ... providers, and CBOs to coordinate referrals for members to community-based services ... process: Preform pre-engagement screening: SDOH..