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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 .....
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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..
Description The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to support ... benefit administration determinations. The Manager, Utilization Management Behavioral Health works within specific guidelines and..
... 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 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..
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,..
... The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... or equivalent experience Active Unrestricted RN license in the state(s) in ... A minimum of three..
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 ..
