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Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... Demonstration). Responsibilities The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... (EFMP). Auditing for quality and clinical compliance,..
... innovations, flexible medication access, one-on-one clinical support, and excellent customer service. ... excellent customer service. Summary The Clinical Account Manager (CAM) is directly ... with the assigned client(s). The..
... for utilization management oversight and clinical decision-making as outlined in the ... Certified Behavior Analysts (BCBAs) conducting clinical necessity reviews in the delivery ... tools to assist in guiding..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description Responsibilities The ACD Referral Authorization Coordinator Lead role will assist the Supervisor in oversight & monitoring of processing and timeliness standards for referrals and authorizations under the Autism Care Demonstration ..
Job Information Humana Clinical Analytics and Trend Program Manager ... San Antonio Texas Description The Clinical Strategy and Practice Lead builds ... strategies for development, engagement, best clinical practices and..
Description The Clinical Pharmacy Lead monitors drug development ... and medical literature, while providing clinical support for internal stakeholders. Utilizes ... and improve health outcomes. The Clinical Pharmacy Lead works..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... techniques, data analysis,..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... for supporting new Medicaid Market..