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Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
... seeking a Board Certified Genetic Counselor to join our Special Investigations ... As a Board Certified Genetic Counselor you will assist in the ... assignment capsule includes reviewing of..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
Description The Care Coach 1 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 for the ..
... and validation processes to ensure medical record documentation and coding for ... coding knowledge to research Humana Medical Coverage Policies, CMS coverage guidelines, ... clinical experience reading and interpreting..
$40 - $50 per hour which is comprised of taxable hourly rate, specifically including if applicable, nontaxable (housing and M&IE) stipends converted to an hourly rate based on a 35-40 hour ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Colorado Springs Colorado Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
... promote quality, cost-effective outcomes. Coordinate medical, behavioral and other services for ... efficient manner in accordance with Medical Management policies and procedures. Utilize ... in Coordinated Team Conferences; includes..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in ... seeking a Board Certified Genetic Counselor to join our Special Investigations ... As a Board Certified Genetic Counselor you..
BenefitsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffEmployee Assistance Program to support mental healthEmployee Foundation to financially assist through unforeseen hardshipsTuition, Travel, and Wireless Service DiscountsVariable compensation plansEmployee Assistance ..
Description The Genetic Counselor 2 responsible for evaluating and ... understanding member's risk of inherited medical condition. The Genetic Counselor 2 work assignments are varied ... Humana is seeking a..
... coordinate, implement, monitor, and evaluate medical / behavioral health services required ... Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), Licensed Masters Social Worker .....
Job Information Humana Director, Behavioral Health Strategy in Colorado Springs Colorado Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
