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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,..
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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 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..
... 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..
... 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..
... 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 Supervisor, Health Services Nursing serves as the ... as the strategic leader for Utilization and Case Management - including all clinical Physical ... including all clinical Physical and..
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..
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 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 ..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..
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..
Job Information Humana Director, Behavioral Health Strategy in Lancaster South Carolina ... South Carolina 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 Lancaster South Carolina Description ... moderate to substantial. Responsibilities The Utilization Management (UM) and Case Management (CM) Process Improvement..
