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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 ..
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 ..
... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... contact with patients, physicians, clinical manager(s), other members of the healthcare team in a timely manner .....
Description The Field Care Manager, Behavioral Health 2 assesses and ... of members. The Field Care Manager, Behavioral Health 2 work assignments ... well-being Responsibilities The Field Care Manager, Behavioral..
... Louisiana is seeking a RN, Manager of Care Management to lead ... levels to meet care and service quality objectives. Supports orientation and ... years of experience working in..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies ... levels to meet care and..
Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care Manager Nurse 2 work assignments are ... action. Responsibilities The Field Care Manager, Behavioral..
... in Louisiana is seeking a Manager, Utilization Management Nursing who will ... and/or benefit administration determinations. The Manager, Utilization Management Nursing applies a ... levels to meet care and..
... independently refer suspected member fraud, provider fraud, and member abuse cases ... meetings Required Qualifications Experience in healthcare, healthcare investigations, and/or risk management Supervisory ... Master's degree in Law,..
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 ..
... travel daily to and from provider offices in their assigned regions ... regions to conduct on-site audits, provider education, and collaboration with BH ... record reviews, member interview and..