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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 ..
... 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 ..
... 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 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 ..
Description The Senior Quality Improvement Professional will focus organizational efforts on improving behavioral health (BH)/substance use disorder (SUD) clinical quality performance measures to achieve optimal performance and quality for the Humana ..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
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 ..
Job Information Humana Director, Behavioral Health Strategy in Lancaster South Carolina Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
... 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 Nationwide Medicaid Behavioral Health Quality Lead in Lancaster South Carolina 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..
