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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 ..
... work closely with the Quality Director, Behavioral Health Director, Quality Improvement Manager and those ... those targeting specialized behavioral health services to promote an organization-wide culture ... Medicaid enrollees..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director actively uses..
Job Information Kindred at Home Physical Therapist Assistant, Home Health Full Time in Logan West Virginia As a Home Health Physical Therapist Assistant , you will: Administer the physical therapy treatment ..
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 ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Charleston West Virginia Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible ..
Job Information Kindred at Home Physical Therapist Assistant, Home Health Full Time in Charleston West Virginia As a Home Health Physical Therapist Assistant , you will: Administer the physical therapy treatment ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Charleston West Virginia Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the ..
Job Information Kindred at Home Physical Therapist Assistant Home Health PRN in Chapmanville West Virginia As a Home Health Physical Therapist Assistant , you will: Administer the physical therapy treatment plan ..
Job Information Centerwell Physical Therapist Assistant Home Health PRN in Summersville West Virginia As a Home Health Physical Therapist Assistant , you will: Administer the physical therapy treatment plan as developed ..
... challenge and change.' The Associate Director, Technology Solutions devises an effective ... IT business initiatives. The Associate Director, Technology Solutions requires a solid ... across department(s). Responsibilities The Associate..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be ..
... nation's leading provider of healthcare services from short-term to long-term care ... living options and professional clinical services. We are changing how care ... difference. Join our team as..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... reviews for inpatient and outpatient services to ensure that members receive ... clinically appropriate and medically necessary services...
... nations' leading provider of healthcare services from short-term to long-term care ... living options and professional clinical services. We are changing how care ... the Genesis team as the..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Charleston ... West Virginia Description The Associate Director, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services..
Job Information Humana Director of Public Policy in Charleston ... Charleston West Virginia Description The Director of Public Policy role resides ... Centers for Medicare and Medicaid Services (in partnership..
Job Information Humana Director, Behavioral Health Strategy in Charleston ... Charleston West Virginia Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
... The Lead Behavioral Health Medical Director oversees the work of 2 ... The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The Lead Medical..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... daily work. Responsibilities The Medical Director's work includes..
... the leading providers of healthcare services from short-term to long-term care ... living options and professional clinical services. Why Genesis? We improve the ... exceeding CDC and CMS standards.The..
... will collaborate with the Medical Director and the Charge Nurse regarding ... advance your career into a Director of Operations then senior leadership ... employees with similar interests, goals,..
