HealthcareCrossing Jobs

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-KS-Overland Park

Mon, 04 Sep 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior S...

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

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...

Utilization Management Nurse 2 - Work at Home (Part-Time - Tuesday/Thursday/Friday) - USA-KS-Overland Park

Tue, 08 Aug 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...

RN/LPN Senior Provider Engagement, Clinical Professional - Work at Home, Wichita, KS area - USA-KS-Overland Park

Thu, 07 Sep 2023 00:00:00 CDT

Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improv...

Utilization Management Nurse 2 - Central Region (Work at Home - KS, AR, MO, OK, IA, NE) - USA-KS-Overland Park

Tue, 12 Sep 2023 00:00:00 CDT

Director, National Medicaid Care Management Strategy and Practice - USA-KS-Overland Park

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...

Medical Coding Coordinator 3-Remote/Virtual in US - USA-KS-Overland Park

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to...

Nurse RN - 2nd Shift - USA-KS-South Hutchinson

Mon, 26 Jun 2023 00:00:00 CDT

Job Information Tyson Foods Nurse RN - 2nd Shift in South Hutchinson Kansas Successful applicants for this position must be fully vaccinated against COVID-19 as a condition of employment. Vaccine veri...

Associate Director, Problem, Incident and Event Management - USA-KS-Overland Park

Mon, 26 Jun 2023 00:00:00 CDT

Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platfor...

Medical Director - Part Time - USA-KS-Overland Park

Mon, 26 Jun 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...

Physician Assistant Ortho - USA-KS-Galena

Mon, 26 Jun 2023 00:00:00 CDT

We’re a Little Different

Informaticist 2 - USA-KS-Overland Park

Mon, 26 Jun 2023 00:00:00 CDT

Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work...

Staff Utilization Management Pharmacist (Contract Position) - USA-KS-Overland Park

Mon, 26 Jun 2023 00:00:00 CDT

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Th...

Corporate Strategist - USA-KS-Overland Park

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-KS-Overland Park

Mon, 26 Jun 2023 00:00:00 CDT

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-KS-Overland Park

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...

Medical Director - Work at Home - USA-KS-Overland Park

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-KS-Overland Park

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Overland Park Kansas Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to...

Associate VP, Technology Solutions, Pharmacy - USA-KS-Overland Park

Thu, 17 Aug 2023 00:00:00 CDT

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

Medical Coding Auditor-Remote/Virtual in US - USA-KS-Kansas City

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to pa...