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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..
... 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 Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Job Information Humana Social Worker-MSW and licensure required- Telephonic ... a member's physical, environmental and psycho-social health issues. Identifies and resolves ... Required Qualifications Master's degree in Social Work. Current..
... 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..
... for educationally related occupational therapy services, providing related services to students and student team ... or enhance motor, communication, adaptive, social, behavioral, and prevocational/vocational skills in ... Burlington Schools..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..
Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on the ..
Description The Utilization Management Nurse 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 are ..
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 ..
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 ..
... 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,..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
... 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..
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 ..
... 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 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 ..
... the coordination of school health services, which includes the coordination of ... coordination of the district’s medical services and provision of input of ... nurse will cover building nurse..
... Assessment of strengths and needs. Social skills, behavioral, and communication assessment ... providers regarding the coordination of services to children with ASD. Maintains ... with Director of Student Support..
