HealthcareCrossing Jobs

Commercial Medical Director - Work At Home - USA-MI-Troy

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-MI-Troy

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-MI-Troy

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...

Senior Communications and Marketing Professional - USA-MI-Troy

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Human...

Grievances and Appeals Medical Director - Nationwide - USA-MI-Troy

Sat, 22 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...

Bilingual Medicaid Inbound Call Center Rep - USA-MI-Troy

Thu, 04 May 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...

Behavioral Health Medical Director - Tricare - USA-MI-Troy

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...

Registered Nurse - USA-MI-Saginaw

Thu, 18 May 2023 00:00:00 CDT

323 N Michigan Ave,Saginaw,Michigan,48602,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 diffe...

Hybrid Physician Relations Specialist / Market De - USA-MI-Brighton

Thu, 18 May 2023 00:00:00 CDT

7960 W Grand River RdSte 200,Brighton,Michigan,48114-7336,United States of America Provider Relations Specialist / Market Development Administrator General Purpose of the Job:\ Reporting to the Dire...

Clinical Social Worker MSW, Part Time - USA-MI-Royal Oak

Sun, 21 May 2023 00:00:00 CDT

3425 Starr RdSTE B,Royal Oak,Michigan,48073,United States of America Licensed Master Social Worker\ COVID Vaccinated or Approved Exemption (religious or medical) will be required. Be different. Do w...

Registered Nurse ICHD Float - USA-MI-Brighton

Sun, 21 May 2023 00:00:00 CDT

7960 Grand River RdSuite 210,Brighton,Michigan,48114-7336,United States of America Registered Nurse, Float (Brighton and surrounding area)3-4 days / wk, 10 - 12 hours/day (e/o Saturday)Differential f...

Customer Service Representative - USA-MI-Troy

Sun, 21 May 2023 00:00:00 CDT

Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional experiences to our member...

Registered Nurse ICHD - USA-MI-Fremont

Sat, 27 May 2023 00:00:00 CDT

1317 W Main St,Fremont,Michigan,49412,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 differenc...

Social Worker MSW Per Diem - USA-MI-Grand Haven

Sat, 27 May 2023 00:00:00 CDT

16964 Robbins RdSte 203,Grand Haven,Michigan,49417-2796,United States of America Part-Time Social Worker\ Grand Haven, MI and surrounding area Be different. Do what you love. \<3 Use your natural g...

Float Registered Nurse - USA-MI-Bay City

Sat, 27 May 2023 00:00:00 CDT

3170 S PROFESSIONAL DR,BAY CITY,Michigan,48706-2839,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 excepti...

Registered Nurse RN - USA-MI-West Branch

Sat, 27 May 2023 00:00:00 CDT

Job Information Davita Registered Nurse RN in West Branch Michigan 599 Court Street,West Branch,Michigan,48661,United States of America DaVita is seeking a Registered Nurse who is looking to give life...

Bilingual Quality Auditor - USA-MI-Troy

Thu, 01 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Troy Michigan Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Servic...

Chief of Psychiatry (Psychiatrist) - USA-MI-Saginaw

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
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\nTo qualify for this position, you must meet the basic requirements as well as any...

Physician Primary Care with Recruitment/Relocation Incentive and Education Debt Reducttion Program - USA-MI-Iron Mountain

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n To qualify for this position, you must meet the basic requirements as well as any additio...

Business Support Coordinator 1 - Medical Records - USA-MI-Troy

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 ...