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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 .....
... (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical ... are at risk of excessive utilization of future health related services and to supplement ... services and..
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 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 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..
... 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 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 ..
... 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..
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 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,..
... 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 Rogers Arkansas Description ... Rogers Arkansas Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for their..
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..
