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... Humana is seeking a Genetic Counselor to assist in the detecting ... assignment capsule includes reviewing of medical records for fraud, waste or ... well as review of Humana..
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 ..
... 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..
... 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..
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 ..
... 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 .....
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 ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Fargo North Dakota Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible ..
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..
Job Information Humana Director, Behavioral Health Strategy in Fargo North Dakota Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
