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... service activities through data integrity management and gathering of provider claims ... and relations, credentialing, and contract management systems. Executes processes for intake and ... Experience with credentialing and..
... seeking an Associate Director, Care Management who will use clinical knowledge, ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
... seeking an Associate Director, Utilization Management Nursing who will use clinical ... health professionals responsible for utilization management. The Associate Director, Utilization Management Nursing requires a solid understanding .....
Description Humana Healthy Horizons in Louisiana is seeking Behavioral Health Liaisons to join our growing team. The Behavioral Health (BH) Liaisons will be responsible for ensuring connection, coordination, outreach, education, and ..
... seeking an Associate Director, Care Management(Behavioral Health) who will use clinical ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
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 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..
... (BH) Children's System Administrator (Care Management Behavioral Health Lead) who will ... BH Children's System Administrator (Care Management Behavioral Health Lead) will coordinate ... and appropriate manner. Advises case..
... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... database integrations, network and hosting..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
... is seeking a Manager, Community Management who will work to reduce ... population health. The Manager, Community Management is responsible for the vision, ... Louisiana. Responsibilities The Manager, Community..
Description Humana Healthy Horizons in Louisiana is seeking a Crisis Service Liaison to join our growing team. The Crisis Service Liaison will have the primary responsibility of educating providers and those ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Job Information Humana Quality Improvement Coordinator in Shreveport Louisiana Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..