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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are .....
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... them to better understand their health care options and become active ... how to navigate through the health care setting. Provide ongoing consultation ... degree in Nursing (B.S.N) Active..
Job Information Humana Manager, Behavioral Provider Contracting in Birmingham Alabama ... Alabama Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, ... in general and understanding of behavioral..
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic ... Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current ... (Autism Care Demonstration). Responsibilities The Behavioral Health Clinical..
... Professional provides support to assigned health plan and/or specialty companies relative ... on regulations for all assigned health plans. Ensures that assigned health plans are meeting or exceeding .....
Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... requests as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are ... compact state As a Pre-Authorization..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services ... and community members improve their..
... courses of action. Responsibilities The RN Care Manager, Telephonic Nurse 2 ... to meet an individual's comprehensive health needs through communication and available ... quality, cost-effective outcomes. Coordinate medical,..
... Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in ... Defense to administer the TRICARE health program for military members, retirees ... has strived to create..
... a team environment on Humana's health plan accreditations, performing complex tasks ... a team environment on Humana's health plan accreditations, performing complex tasks ... Role Requirements Registered Nurse or..
Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... requests as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are ... compact state As a Pre-Authorization Behavioral..
... variable factors. Responsibilities The Senior Behavioral Health Professional has experience with requests ... markets for ASAM criteria, Mental Health First Aid, LOCUS, CANs, Trauma ... each state contract Required..
... country. Healthcare isn't just about health anymore. It's about caring for ... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide..
Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, ... members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied ... seeking a Care Manager,..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in ... Alabama Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, ... in general and understanding of behavioral..
Description The Director of Health Services for National Medicaid Clinical ... benefit administration determinations. The Director, Health Services requires an in-depth understanding ... delivery process. The Director of Health Services..
