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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 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 Job Summary 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..
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..
... 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..
... 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 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..
