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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..
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... 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 The WEEKEND 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 ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description The Weekend Telephonic 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 ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Montpelier Vermont Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... 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 .....
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
... Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE ... Autism Spectrum Disorder (ASD) related services in accordance with the Autism ... This role assists in coordinating..
... Information Humana Manager, Care Management Social Services-WAH Nationwide in Montpelier Vermont Description ... Care Management leads teams of social work and social service professionals responsible for contributing ... within..
... 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 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 ..
Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
... a member's physical, environmental and psycho-social health issues. Identifies and resolves ... Managers, because our case management services are centered on the person ... Assess member's physical, environmental and..
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 ..
Description The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
... 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,..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Montpelier Vermont Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
