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... Humana is seeking a Genetic Counselor to assist in the detecting ... assignment capsule includes reviewing of medical records for fraud, waste or ... well as review of Humana..
Description The Clinical Strategy & Practice Lead will oversee our behavioral health (BH) clinical program for Oklahoma's Medicaid plan enrollees. They will collaborate closely with the Health Services Director and RVP, ..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
Job Information Humana Field Care Manager, Behavioral Health - Tulsa, OK & Surrounding Areas in Tulsa Oklahoma Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and ..
... promote quality, cost-effective outcomes. Coordinate medical, behavioral and other services for ... efficient manner in accordance with Medical Management policies and procedures. Utilize ... in Coordinated Team Conferences; includes..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..