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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments..
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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..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing ... coordination, documentation and communication of behavioral health services and/or benefit administration determinations. ... and/or benefit administration determinations. The..
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,..
Job Information Humana Director, Behavioral Health Strategy in Davenport Iowa Description ... Davenport Iowa Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for their..
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,..
... of the Humana Military Case Management team; providing a comprehensive, holistic ... a comprehensive, holistic approach for Behavioral Health Case Management throughout the continuum of care. ... interaction with..
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 ... requested services. Educate providers on utilization and medical management processes. Begins to influence department's ... markets..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support ... discussed during the interview. The Utilization Management Behavioral Health..
... 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 ..
Job Information Humana Weekend Shift- RN Utilization Management Behavioral Health Nurse 2 - Compact License ... in Davenport Iowa Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing..
... a team environment on Humana's health plan accreditations, performing complex tasks ... a team environment on Humana's health plan accreditations, performing complex tasks ... of experience in Accreditation, Quality..
