HealthcareCrossing Jobs

Inside Sales SWAT Executive - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assig...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-MD-Bethesda

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...

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

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-MD-Bethesda

Sun, 13 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Bethesda Maryland Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to su...

Direct Support Professional - USA-MD-Gaithersburg

Mon, 03 Jun 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Gaithersburg, MD

Location: Gaithersburg, MD

Department: Jubilee Association of Maryland

Type: Part Time

Min...

Direct Support Professional - USA-MD-Rockville

Tue, 04 Jun 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Silver Spring, MD

Location: Silver Spring, MD

Department: Jubilee Association of Maryland

Type: Part-Time

M...

RN Case Manager - Telephonic Nurse 2 - Complex Case Management Program (Remote) - USA-MD-Bethesda

Fri, 07 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding mem...

Care Manager, Telephonic Nurse Assistant-2-Remote, US - USA-MD-Bethesda

Fri, 11 Nov 2022 00:00:00 CST

Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurs...

Nurse Advice Line Telephonic Nurse - RN Compact License States Only - USA-MD-Bethesda

Mon, 05 Dec 2022 00:00:00 CST

Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Bethesda Maryland Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses...

Utilization Management & Medical Coding Registered Nurse, RN - USA-MD-Bethesda

Fri, 16 Dec 2022 00:00:00 CST

Care Management Support Assistant BILINGUAL - USA-MD-Bethesda

Sun, 18 Dec 2022 00:00:00 CST

Description The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements t...

Sales Support Representative - USA-VA-Arlington

Sun, 16 Apr 2023 00:00:00 CDT

Job Information Humana Sales Support Representative in Arlington Virginia Description Are you passionate about contributing to the well-being of the Medicare population? Would you like to provide supp...

Broker Relationship Executive - USA-MD-Bethesda

Sat, 22 Apr 2023 00:00:00 CDT

Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability...

Bilingual Medicaid Inbound Call Center Rep - USA-MD-Bethesda

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Med...

Stars Improvement Professional - USA-MD-Bethesda

Thu, 20 Apr 2023 00:00:00 CDT

Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direc...

Telephonic Behavioral Health Care Manager - USA-MD-Bethesda

Thu, 04 May 2023 00:00:00 CDT

Job Information Humana Telephonic Behavioral Health Care Manager in Bethesda Maryland Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs...

RN, Utilization Management - Behavioral Health - USA-MD-Bethesda

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...

Pre-Authorization Nursing Supervisor - USA-MD-Bethesda

Sat, 13 May 2023 00:00:00 CDT

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward reques...

Bilingual Manager, Learning Facilitation - USA-MD-Bethesda

Fri, 19 May 2023 00:00:00 CDT

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST s...

Bilingual Quality Auditor - USA-MD-Bethesda

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Bethesda Maryland Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Se...