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Job ID 21000GNNAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
... is seeking a Manager, Utilization Management (Behavioral Health) who will utilize ... administration determinations. The Manager, Utilization Management Behavioral Health applies a Person-Centered ... Functions and Responsibilities Supervise utilization..
Description A Peer Support Specialist (Care Management Support) is a person in recovery from a behavioral health condition (mental health, substance use, or co-occurring) who provides mentoring, guidance, and support services ..
... with Humana's National Claims Cost Management Vice President. Responsibilities Essential Functions ... meetings Required Qualifications Experience in healthcare, healthcare investigations, and/or risk management Supervisory or leadership experience Preferred .....
Description The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources ..
... of Health (SDOH) Coordinators (Care Management Support Professional) have regionally based ... for Enrollees not in care management to connect with needed SDOH-related ... support the following functions: Resource..
Description The Provider Relations/Engagement Professional 2 develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted ..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
Description The Community Health Worker/Care Management Support Professional 1 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as part of the ..
Description The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate ..
