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... other members of the quality team and assist local facilities in ... members of the Area Quality Team. Identifies clinical quality improvement opportunities ... in regional, area, facility and..
... Kidney Disease (CKD) health care team, the CAP RN 1 participates ... plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or ... or collaborates with appropriate..
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 ..
... families, and your fellow care team members. You will build deep ... you grow or advance: Previous healthcare experience is not required to ... part of the future of..
... Liaisons to join our growing team. The Behavioral Health (BH) Liaisons ... Join this amazing and dedicated team and lead change in how ... to the appropriate Health Plan's..
... Liaison to join our growing team. The Crisis Service Liaison will ... Join this amazing and dedicated team and lead change in how ... the Humana Behavioral Health market..
Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..
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 Humana Healthy Horizons in Louisiana is seeking a Manager, Care Management (Behavior Health) who will lead our behavioral health care management operations and staff to ensure timely and culturally-competent delivery ..
Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Care Management(Behavioral Health) who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..
... supports the Louisiana Medicaid Market team's efforts to reduce health disparities, ... across the Louisiana Medicaid Market team. Establishes relationships and actively engages ... health. Manages Regional Community Management..
Description The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Shreveport, LA Responsibilities The Senior Coding Educator is responsible for ..
Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding ..
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 ..
