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... 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,..
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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 .....
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..
... subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ideal candidate ... who is responsible for NCQA Health Plan Accreditation and NCQA Health Equity..
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,..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support ... determinations. The Senior Utilization Management Behavioral Health Professional work assignments involve moderately .....
... a comprehensive, holistic approach for Behavioral Health Case Management throughout the continuum ... interaction with beneficiaries to address behavioral health needs and conditions identified through ... monitor, and evaluate..
... 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..
Job Information Humana Director, Behavioral Health Strategy in Charleston West Virginia ... West Virginia Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for their..
... 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..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Charleston West ... Charleston West Virginia Description The Behavioral Health Quality Lead will report directly ... strategy and operating model..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing ... coordination, documentation and communication of behavioral health services and/or benefit administration determinations. ... administration determinations. The Utilization Management..
... 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 ... Quality Management, Compliance, Utilization Management,..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required ... Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, ... members. The Care Manager,..
... 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..
... Humana Utilization Management Nurse 2 Behavioral Health in Charleston West Virginia Description ... Required Qualifications Licensed Registered Nurse (RN) in your resident state with ... action AND Licensed Registered..
... promotes self-management to achieve individualized behavioral and treatment goals that reduce ... that reduce risks and optimize health outcomes. Responsibilities Humana is seeking ... to members managing Diabetes. The..
Description The Behavioral Health Care Manager, Telephonic Nurse 2 ... Responsibilities Humana is seeking a Behavioral Health Care Manager to telephonically assess, ... achieve and/or maintain their optimal health. The..