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Description The Field Care Manager Nurse 2 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 ..
Description Responsibilities The Medicaid Field Care Manager-Behavioral Health will perform telephonic and/or face-to-face assessments and evaluations of the member's needs and requirements to achieve and/or maintain an optimal wellness state by ..
Description The Community Health Worker/ Community Management Professional 1 builds visibility and credibility of organization's products and services throughout community via members face-to-face, chats, posts, and interactions. How we Value You ..
Description The SkillBridge Provider Engagement Professional 2 Intern performs varied moderately to complex operational and administrative activities and semi-routine assignments to support the Kentucky Medicaid Team. Responsibilities The SkillBridge Provider Engagement ..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, and ..
Description Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional to join our team. The Utilization Management (UM) Behavioral Health (BH) Professional utilizes behavioral health knowledge and ..
