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... 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..
... 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..
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 ..
... 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 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 ..
... 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..
... 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 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 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 ..
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 ..
