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Job ID 21000KX5Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
... integration performance, network adequacy, performance improvement projects, and surveys related to ... work closely with the Performance/Quality Improvement Coordinator, Behavioral Health Network Director, ... of experience in managing behavioral..
... with benchmarks, identify opportunities for process improvement, and develop recommendations to leadership. ... Bachelor's degree in health services, healthcare administration, or related field. Experience ... managing staff who review..
... of concern and recommendations for improvement, including corrective action requests in ... schedules. Train providers on auditing process and develop educational material related ... in driving provider level quality..
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who will utilize clinical skills to support the coordination, documentation, and communication of behavioral health services and/or ..
Description Humana Healthy Horizons in Louisiana is seeking a RN, Clinical Educator (Nursing Educator 2) who will plan, direct, coordinate, evaluate, develop, and/or deliver trainings and education programs for professional nursing, ..
Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
