HealthcareCrossing Jobs

Commercial Medical Director - Work At Home - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

RN Care/Case Manager- CenterWell - Atlanta, GA - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Description CenterWell Senior Primary Care, a subsidiary of ******* , is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana...

RN Care Manager - Remote, nationwide - USA-GA-Atlanta

Sat, 22 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies an...

Medical Director - Claims Management - USA-GA-Atlanta

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - Behavioral Health - Tricare - USA-GA-Atlanta

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situa...

DoD SkillBridge, Military Spouse, Care Management, Registered Nurse - USA-GA-Atlanta

Thu, 20 Apr 2023 00:00:00 CDT

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the busines...

Grievances and Appeals Medical Director - Weekends Required - USA-GA-Atlanta

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Medical Director - South Central - USA-GA-Atlanta

Thu, 20 Apr 2023 00:00:00 CDT

Behavioral Health Medical Director - Tricare - USA-GA-Atlanta

Thu, 04 May 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Senior Pre-Authorization Nurse - USA-GA-Atlanta

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...

Registered Nurse Clinical Nurse Labor & Delivery III N - USA-GA-Marietta

Fri, 23 Jun 2023 00:00:00 CDT

Overview\nWellStar Kennestone Hospital has an opportunity for a Labor & Delivery Registered Nurse .\n \nFull-Time Day Shift 7:00am -7:00pm \n \nAs one of the Top 100 hospitals, WellStar Kennestone of...

Pre-Authorization Nursing Supervisor - USA-GA-Atlanta

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...

Data Engineer Marketing Platforms - USA-GA-Atlanta

Sat, 13 May 2023 00:00:00 CDT

Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we...

RN Clinical Coordinator-PerOp-General Surgery - USA-GA-Austell

Sat, 20 May 2023 00:00:00 CDT

Overview\nMake a difference in patients\u2019 lives\u2026 and your own!\nMonday-Friday 6:45AM-3:30PM\n \nHow would you like to work in a place where your contributions and ideas are valued? A place wh...

Associate Licensed Clinician DUI Court - USA-GA-Atlanta

Sun, 28 May 2023 00:00:00 CDT

Associate Clinician for DUI Court The mission of the DUI Treatment Court is to enhance public safety and promote healthier lifestyles for repeat DUI offenders. The Court combines increased supervision...

Co Responder Licensed Clinician - USA-GA-Atlanta

Tue, 30 May 2023 00:00:00 CDT

Co-Responder Licensed Clinician We are looking to fill the position of Co-responder Licensed Clinician. The Co-responder Clinician will work in close partnership with EMTs, responding to calls invol...

Clinical Case Manager - USA-GA-Atlanta

Tue, 30 May 2023 00:00:00 CDT

At ******* our goal is to create a high-performing culture comprised of energized employees who teach, learn and play as a team to win. If you think you are the perfect fit for this job, wed love ...

Bilingual Quality Auditor - USA-GA-Atlanta

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Atlanta Georgia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Serv...

Nurse Manager - USA-GA-Decatur

Mon, 05 Jun 2023 00:00:00 CDT

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

Home Health Registered Nurse - USA-GA-Atlanta

Tue, 13 Jun 2023 00:00:00 CDT

Job Information Humana Home Health Registered Nurse in Atlanta Georgia Description Responsibilities As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up sk...