HealthcareCrossing Jobs

Care Manager, Telephonic Nurse (Bilingual English/Spanish)- Work at Home - USA-OH-Springdale

Mon, 04 Sep 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...

Commercial Medical Director - Work At Home - USA-OH-Cincinnati

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...

OmniCare Clinical Care Product Management Lead - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Lead Product Manager Conceives of, develops, delivers, and manages products for customer use. The Lead Product Manager works on problems of diverse scope and complexity ranging from m...

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...

Health Equity Director - Ohio - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Health Equity Director is responsible for setting direction and establishing strategy to advance equitable health outcomes for our members in Ohio. To achieve this, the Health Equity ...

Medical Director - Part Time - USA-OH-Cincinnati

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...

Medical Director - Work at Home - USA-OH-Cincinnati

Wed, 30 Aug 2023 00:00:00 CDT

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...

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...

Director of Nursing / Charge RN PACU ASC - Azura - USA-OH-Norwood

Fri, 23 Jun 2023 00:00:00 CDT

POSITION FEATURES:We work only day-shift.No Call. No evening shift. No night shift. No holidaysDayton Interventional Radiology3075 Governor's Pl Blvd Suite 120Dayton, OH 45409Prefer: ACLS. Also experi...

Associate Director, Accreditation - USA-OH-Cincinnati

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accred...

Pharmacy Technician - USA-OH-West Chester

Sat, 27 May 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...

State Registered Nurse Aide (SRNA) - Earn up to $40/hr - Now Hiring - USA-KY-Covington

Sun, 28 May 2023 00:00:00 CDT

About this job Find your commute ******* is currently looking for CNAs that are licensed in OH and willing to travel to Cincinnati, OH and surrounding areas in OH. Ready to take control of your sc...

RN, Clinical Educator - USA-OH-Cincinnati

Tue, 30 May 2023 00:00:00 CDT

Description Humana Healthy Horizons in Ohio is seeking a RN, Clinical Educator (Nursing Educator 2) who will plan, direct, coordinate, evaluate, develop, and/or deliver trainings and education progra...

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 ...

Utilization Management Behavioral Health Professional - USA-KY-Covington

Fri, 02 Jun 2023 00:00:00 CDT

Description Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional to join our team. The Utilization Management (UM) Behavioral Health (BH) Professiona...

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

Registered Nurse- Care Manager FLOAT Team - USA-KY-Bellevue

Mon, 05 Jun 2023 00:00:00 CDT

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

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...