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Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..
Job Information Humana Telephonic Care Coach -WAH Nationwide in Albuquerque New ... Albuquerque New Mexico Description The Care Coach 1, in a telephonic environment, ... with resources appropriate for the..
... Deliver provider/member-specific metrics and effectively coach/support provider office staff on best ... Qualifications Bachelor's Degree in Health Care or a related field An ... field An active Registered Nurse..
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Description The Care Coach 1 assesses and evaluates member's ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Coach 1..
Description The Senior Stars Improvement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve quality performance. The Senior Stars Improvement, ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
... platforms, and progressive approaches to care drive Humana Military to be ... Post Discharge Call (PDC) Telephonic Care Manager will be part of ... part of the Humana Military..
... Mexico Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers ... and Texas. CenterWell Senior Primary..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers ... and Texas. CenterWell Senior Primary Care has..
... prior authorization requests for appropriate care and setting, follows guidelines and ... license from list: Registered Nurse (RN) with Compact License and general ... private practice or other patient..
... prior authorization requests for appropriate care and setting, follows guidelines and ... license from list: Registered Nurse (RN) with Compact License 3 years ... private practice or other patient..
... experience with requests for appropriate care and setting(s), guidelines and policies ... necessity review and level of care review for requested services. Educate ... address the BH levels of..
... part of the hemodialysis health care team in providing safe and ... of all appropriate direct patient care personnel as well as the ... as preceptor in direct patient..