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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 Clinical Strategy & Practice Lead will oversee our behavioral health (BH) clinical program for Oklahoma's Medicaid plan enrollees. They will collaborate closely with the Health Services Director and RVP, ..
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 ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Tulsa Oklahoma Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
You will enjoy a collegial environment working with Psychiatrists, Nurse Practitioners, Psychologists, and licensed counselors in either an outpatient or inpatient setting. Work collaboratively with staff to treat the adult population ..
... 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..
... 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 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..
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 ..
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 ..
Job Information Humana Director, Behavioral Health Strategy in Tulsa Oklahoma Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
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 Information Humana Field Care Manager, Behavioral Health - Tulsa, OK & Surrounding Areas in Tulsa Oklahoma Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and ..
... 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..