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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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... 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 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..
... 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..
... 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..
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..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in ... Indiana Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, ... in general and understanding of behavioral..
... 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,..
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,..
... 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..
... 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 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 ..
... focus organizational efforts on improving behavioral health (BH)/Substance Use Disorder (SUD) clinical ... develop sustainable, repeatable, and quantifiable behavioral health process improvements. They will work ... closely with the..
