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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 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 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..
Job Information Humana Director, Behavioral Health Strategy in Atlanta Georgia Description ... Atlanta Georgia Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for their..
... Improvement Lead South Carolina Medicaid (Utilization and Case Management) in Atlanta Georgia Description The ... moderate to substantial. Responsibilities The Utilization Management (UM) and Case Management (CM) Process Improvement..
Description The WEEKEND 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..
Description The Director, Health Services Nursing serves as the ... the strategic leader for Humana Behavioral Health Utilization Management Inpatient services - including all ... financial stewardship Responsibilities The Director,..
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..
... 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..
... is part of a growing behavioral health organization that provides superior behavioral healthcare for the people, communities, ... are a fast-paced Certified Community Behavioral Health Center (CCBHC) positioned for..
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 ..
Allied Health (1) Executive (80) General Nursing ... Support (138) Operations (307) Quality/Risk Management (20) Type Contract (0) Fellowship ... wait. Psychiatric Nurse Practitioner LifeStance Health Milton, GA NEW! NEW!..
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,..
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..
Job Information Humana Weekend Shift- RN Utilization Management Behavioral Health Nurse 2 - Compact License ... in Atlanta Georgia Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing..
