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Job Information Humana Manager, Behavioral Provider Contracting - Remote in ... in Pittsburgh Pennsylvania 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 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..
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..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Pittsburgh Pennsylvania Description ... in Pittsburgh Pennsylvania Description The Care Manager, Telephonic Nurse 2 , in ... with resources..
... Responsibilities The Telephonic Nurse Case Manager will be a member of ... management throughout the continuum of care. The case manager will offer guidance. support, and ... and coordination..
... 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..
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 ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Pittsburgh Pennsylvania ... in Pittsburgh Pennsylvania Description The Behavioral Health Quality Lead will report directly ... strategy and operating model..
... activities to ensure individualized, patient-centered health care for all patient populations admitted ... populations admitted to East End Behavioral Health Hospital. Patient Population: Has contact ... meets the referral..
Job Information Humana Telephonic Care Manager in Pittsburgh Pennsylvania Description The ... Pittsburgh Pennsylvania Description The Telephonic Care Manager will be part of the ... a comprehensive, holistic approach for..
... including: review of appropriateness of health care services, application of criteria to ... opportunities for referral to a Health Coach/case management, and identification and ... and analyzes the delivery..
Description The Behavioral Health Care Manager, Telephonic Nurse 2 , in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care..
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 .....
Job Information Humana Director, Behavioral Health Strategy in Pittsburgh Pennsylvania Description ... Pittsburgh Pennsylvania Description The Director, Behavioral Health (DBH) will ensure that populations ... Horizons have access to quality..
Description The Care Manager, Telephonic Nurse 2, in a ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
... direct responsibility for establishing the Care Management and Chronic Condition Management ... best and most appropriate treatment, care or services for members. Responsibilities ... and leading implementation of the..
