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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 ... of experience in Accreditation, Quality..
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..
... a member of the Case Management Team, providing a comprehensive, holistic ... comprehensive, holistic approach for case management throughout the continuum of care. ... required to meet the complex..
Job Information Humana Director, Behavioral Health Strategy in Pittsburgh Pennsylvania Description ... Pittsburgh Pennsylvania Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for their..
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 ..
... 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..
... 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..
... SUMMARY This job implements effective utilization management strategies including: review of appropriateness ... including: review of appropriateness of health care services, application of criteria ... criteria to assure appropriate..
