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Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Care Management who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and most ..
Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Utilization Management Nursing who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..
... in Louisiana is seeking a Manager, Community Management who will work ... equity and population health. The Manager, Community Management is responsible for ... based in Louisiana. Responsibilities The..
Description Humana Healthy Horizons in Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible for overseeing the development and implementation of Humana Medicaid's Addiction Services in Louisiana, serving ..
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 ..
Description The Community Health Worker/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 ..
Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..
Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies ... policies and procedures to ensure..
... in Louisiana is seeking a Manager, Care Management (Behavior Health) who ... care, services, and supports in compliance with Louisiana Department of Health ... policies and procedures to ensure..
... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..
Description Humana Health Horizons in Louisiana is seeking a Behavioral Health (BH) Children's System Administrator (Care Management Behavioral Health Lead) who will advise on program features to reach members and drive ..
Description Humana Healthy Horizons in Louisiana is seeking RN Managers of Care Management who will lead our physical health/behavioral health care management operations and staff to ensure timely and culturally-competent delivery ..
... comprehensive case management environment. Assure compliance with mandated and corporate policies ... and well-being of members. Maintain compliance with Louisiana Department of Health ... in Louisiana and is in..
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management Nursing who will utilize clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit ..
... Louisiana is seeking a RN, Manager of Care Management to lead ... care, services, and supports in compliance with our Louisiana Department of ... policies and procedures to ensure..
