EmploymentCrossing Jobs

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-OH-Cincinnati

Tue, 15 Aug 2023 00:00:00 CDT

Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinat...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Director, National Medicaid Care Management Strategy and Practice - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. T...

Nurse RN - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Job Information Tyson Foods Nurse RN in Cincinnati Ohio Successful applicants for this position must be fully vaccinated against COVID-19 as a condition of employment. Vaccine verification will be req...

Patient Care Technician - PCT - USA-OH-Trotwood

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000GDNAvailable Openings 3PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-OH-Cincinnati

Sun, 13 Aug 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-OH-Cincinnati

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to supp...

Associate VP, Technology Solutions, Pharmacy - USA-OH-Cincinnati

Mon, 19 Jun 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Cincinnati Ohio Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the busi...

Senior Pre-Authorization Nurse - USA-OH-Cincinnati

Mon, 11 Sep 2023 00:00:00 CDT

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

RN, Utilization Management - Behavioral Health - USA-OH-Cincinnati

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Remote Systems Clinical Pharmacist - USA-OH-Cincinnati

Sat, 03 Jun 2023 00:00:00 CDT

Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical ...

Registered Nurse - Informaticist - USA-OH-Cincinnati

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Applicants pending the completion of educational or certification/licensure requirements ...

Home Therapy Program Manager (Fairfield) - USA-OH-Fairfield

Mon, 05 Jun 2023 00:00:00 CDT

PURPOSE AND SCOPE:Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Provides direction and guidance to the interdisciplinary team providing care to ...

Pharmacy Technician - USA-OH-Middletown

Mon, 05 Jun 2023 00:00:00 CDT

Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're helping peo...

Senior Sales Enablement Product Marketer - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Sales Enablement Product Marketer in Cincinnati Ohio Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer wh...

Quality Improvement Manager - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes quality compliance and quality improvement activities su...

Utilization Management Nurse (LPN) - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Registered Nurse (RN) / Telemetry - USA-OH-Cincinnati

Sat, 10 Jun 2023 00:00:00 CDT

Telemetry assignments in Akron, OH, 13 weeks, 12 hr days and night available, - 2 years recent Tele experience -Neuro/Trauma experience preferred - OH becomes compact state as of January 2023 ...

Senior Copy Writer - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Copy Writer in Cincinnati Ohio Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a creative collec...