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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 ..
PURPOSE AND SCOPE:Supports FMCNA's mission core values expected behaviors and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy and procedure requirements.Provides psychosocial services ..
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 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 ..
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..
... 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 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..
Job Information Humana Director, Behavioral Health Strategy in Bridgeport Connecticut Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
... 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 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 Code 71368 Jobs Rated 18th Job Description rJob Description r Sign-on bonus available. Evaluates and treats patients with disabilities, injuries, and/or diseases using physical, chemical and mechanical means in accordance ..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
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 ..
Job Code 86557 Job Description rJob Description r Directs and oversees the development, implementation, and evaluation of clinical and administrative plans, methods and procedures for program components and overall assessments of ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Bridgeport Connecticut Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
Job Code 69672 Jobs Rated 18th Job Description rJob Description r Evaluates and treats patients with disabilities, injuries, and/or diseases using physical, chemical and mechanical means in accordance with the written ..
... 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 Code 78760 Jobs Rated 18th Job Description rJob Description r Evaluates and treats patients with disabilities, injuries, and/or diseases using physical, chemical and mechanical means in accordance with the written ..
... Emergency Service at Cohen Children’s Medical Center in New Hyde Park, ... at the rntFeinstein Institute for Medical Research. We're training the next ... training the next generation of..