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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..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in ... in Indianapolis Indiana Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, ... area. Comprehensive knowledge of..
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Description The Care Manager, Telephonic Nurse 2 , in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The..
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 ..
... variable factors. Responsibilities The Senior Behavioral Health Professional has experience with requests ... experience with requests for appropriate care and setting(s), guidelines and policies ... necessity review and level..
... 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 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 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 .....
