HealthcareCrossing Jobs

Commercial Medical Director - Work At Home - USA-KY-Louisville

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...

Claims Process & Policy Professional 2 - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated repor...

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

Mon, 19 Jun 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...

DRG Validation Coding Auditor - USA-KY-Louisville

Sat, 22 Apr 2023 00:00:00 CDT

Description The DRG Validation 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...

Bilingual Medicaid Inbound Call Center Rep - USA-KY-Louisville

Thu, 20 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...

Medical Director - Claims Management - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - Behavioral Health - Tricare - USA-KY-Louisville

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...

Associate Director, Program Integrity - USA-KY-Louisville

Thu, 04 May 2023 00:00:00 CDT

Description Are you looking to join a team where you can be a part of our important mission of supporting the TRICARE healthcare program for our nation's military? Humana Government Business is a top...

Medical Coding Auditor (Evaluation & Management experience required) - USA-KY-Louisville

Mon, 01 May 2023 00:00:00 CDT

Job Information Humana Medical Coding Auditor (Evaluation & Management experience required) in Louisville Kentucky Description The Medical Coding Auditor reviews medical claims submitted against medic...

Assistant Professor - Term - Exercise Science - R101470 - USA-KY-Louisville

Fri, 23 Jun 2023 00:00:00 CDT

Department:

*******

Location: Belknap Campus

Time Type:

Full time

Worker Type:

Regular Term (Fixed Term)

Job Req ID:...

Lead User Interface Designer - USA-KY-Louisville

Fri, 19 May 2023 00:00:00 CDT
Description The Lead User Interface Designer leads the team that designs web page layout and online content, user interface graphics, icons, color schemes, content and infrastructure for new product ...

Registered Nurse-No previous dialysis experience required - USA-KY-Louisville

Sat, 27 May 2023 00:00:00 CDT
5801 Preston Hwy,Louisville,Kentucky,40219-1313,United States of America DaVita is seeking a Registered Nurse who is looking to give life in an outpatient dialysis center. You can make an exception...

Bilingual Quality Auditor - USA-KY-Louisville

Sat, 03 Jun 2023 00:00:00 CDT
Job Information Humana Bilingual Quality Auditor in Louisville Kentucky Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare ...

Social Worker MSW (PART TIME)-SIGN ON BONUS - USA-KY-La Grange

Fri, 02 Jun 2023 00:00:00 CDT
224 Parker Drive,La Grange,Kentucky,40031,United States of America Be different. Do what you love. Use your natural gift of education and persuasion to help patients and their families cope with...

Registered Nurse ICHD - USA-KY-Louisville

Sat, 10 Jun 2023 00:00:00 CDT
720 W Broadway,Louisville,Kentucky,40202,United States of America DaVita is seeking a Registered Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional diff...

Patient Care Technician-Entry Level - USA-KY-Louisville

Sat, 10 Jun 2023 00:00:00 CDT
4600 Shelbyville Road, Ste 310,Louisville,Kentucky,40207,United States of America DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can m...

Registered Nurse - USA-KY-Louisville

Sun, 18 Jun 2023 00:00:00 CDT
8037 Dixie Highway,Louisville,Kentucky,40258,United States of America DaVita is seeking a Registered Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional ...

Appeals Nurse - USA-KY-Louisville

Tue, 13 Jun 2023 00:00:00 CDT
Description The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the ap...

Medical Director - Kentucky Medicaid - USA-KY-Louisville

Tue, 13 Jun 2023 00:00:00 CDT
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Business Support Coordinator 1 - Medical Records - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT
Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...