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Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Partners in Primary Care, a division of ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Job Information Humana Telephonic RN Care Manager in Metairie Louisiana Description The Care Manager, Telephonic RN, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain ..
... health education and value-added, well-being services at the centers and around ... integrated behavioral health, pharmacist, and social services support. The main responsibilities of ... opportunities for automation, analytics,..
... team is expanding our shared services organization to enhance the clinical ... Chronic Condition Management programs and services utilized across all of Humana's ... most appropriate treatment, care or..
Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization Behavioral ..
... of care review for requested services. Educate providers on utilization and ... and training to support BH services for both PH and BH ... a behavioral-health field, such as..
Description The Care Management Support Assistant 3 contributes to administration of ... members. The Care Management Support Assistant 3 performs advanced administrative/operational/customer support ... Responsibilities The Care Management Support Assistant..
... health education and value-added, well-being services at the centers and around ... environment for all. The Medical Assistant is the first point of ... to patient care. The Medical..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
... a member's physical, environmental and psycho-social health issues. Consult with your ... experience. Coordinate community care and services as deemed appropriate. Understand clinical ... referrals Coordinate community care and..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
... management program or other referral services in collaboration with Humana Government ... approaches in communication delivery. Identify Social Determinants of Health needs and/or ... and/or community resources to provide..
... specific care plan and coordinates services Ensures members are receiving services in the least restrictive setting ... to meet those needs Coordinating services, and monitoring and evaluating the .....
