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... and other members of the healthcare team to interpret, adjust, and ... delivery of patient care in compliance with standards outlined in the ... philosophy. Adheres to the FMCNA..
Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Care Management who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and most ..
... Louisiana is seeking a RN, Manager of Care Management to lead ... care, services, and supports in compliance with our Louisiana Department of ... policies and procedures to ensure..
Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Utilization Management Nursing who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..
... in Louisiana is seeking a Manager, Care Management (Behavior Health) who ... care, services, and supports in compliance with Louisiana Department of Health ... policies and procedures to ensure..
... in Louisiana is seeking a Manager, Community Management who will work ... equity and population health. The Manager, Community Management is responsible for ... based in Louisiana. Responsibilities The..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies ... policies and procedures to ensure..
Description Humana Healthy Horizons in Louisiana is seeking RN Managers of Care Management who will lead our physical health/behavioral health care management operations and staff to ensure timely and culturally-competent delivery ..
Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..
... comprehensive case management environment. Assure compliance with mandated and corporate policies ... and well-being of members. Maintain compliance with Louisiana Department of Health ... in Louisiana and is in..
Description Humana Healthy Horizons in Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible for overseeing the development and implementation of Humana Medicaid's Addiction Services in Louisiana, serving ..
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management Nursing who will utilize clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit ..
Description The Area Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Area Medical Director requires a solid understanding of how organization capabilities ..
... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..