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... commitment to the Quality Enhancement Program (QEP) and CQI Activities, including ... PCT’s. Collaborates with the Clinical Manager and Education Coordinator in driving ... Clearance Monitoring (OLC), Adequacy Monitoring..
Description The Behavioral Health Strategy Lead (Behavioral Health Coordinator) shall have responsibility for clinical program development and oversight of staff and services related to the delivery of covered mental health and ..
... training objectives. Develop/implement a conditioning/rehabilitation program consistent with physician’s Plan of ... and revising the therapy treatment program and Plan of Treatment. Provide ... to the patient's physician, Clinical..
... Louisiana is seeking a RN, Manager of Care Management to lead ... staff for the Moms First program, to ensure timely and culturally-competent ... individual needs. Monitors and maintains..
... Investigator will serve as Humana's Program Integrity Officer, who will oversee ... waste, and abuse (FWA) compliance program to prevent and detect potential ... in Louisiana to increase Medicaid..
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 ..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies ... utilization management. Monitor and maintain..