HealthcareCrossing Jobs

Lead Solutions Architect - Cloud (Remote) - USA-MD-Bethesda

Fri, 15 Sep 2023 00:00:00 CDT

Description The Lead Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Lead Solutions Archi...

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

Sun, 10 Sep 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...

Nurse Case Manager - USA-DC-Washington

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000FRDAvailable Openings 1Position Specific Information Dialysis experience required RN license required Full-time role PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer...

Commercial Medical Director - Work At Home - USA-MD-Bethesda

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...

Commercial Medical Director - Work At Home - USA-DC-Washington

Mon, 26 Jun 2023 00:00:00 CDT

Business Support Coordinator 1 - Medical Records - USA-MD-Bethesda

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 ...

Staff Utilization Management Pharmacist (Contract Position) - USA-MD-Bethesda

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...

Staff Utilization Management Pharmacist (Contract Position) - USA-DC-Washington

Mon, 26 Jun 2023 00:00:00 CDT

Associate VP, Technology Solutions, Pharmacy - USA-DC-Washington

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Washington District Of Columbia Description The Associate Vice President of Technology Solutions acts as a liaison and collaborat...

Associate VP, Technology Solutions, Pharmacy - USA-MD-Bethesda

Thu, 06 Jul 2023 00:00:00 CDT

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

Direct Support Professional - USA-MD-Gaithersburg

Thu, 02 May 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Gaithersburg, MD

Location: Gaithersburg, MD

Department: Jubilee Association of Maryland

Type: Part Time

Min...

Direct Support Professional - USA-MD-Silver Spring

Fri, 03 May 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Silver Spring, MD

Location: Silver Spring, MD

Department: Jubilee Association of Maryland

Type: Part-Time

M...

Direct Support Professional - USA-MD-Rockville

Fri, 03 May 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Silver Spring, MD

Location: Silver Spring, MD

Department: Jubilee Association of Maryland

Type: Part-Time

M...

Senior Pre-Authorization Nurse - USA-DC-Washington

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...

Senior Pre-Authorization Nurse - USA-MD-Bethesda

Mon, 11 Sep 2023 00:00:00 CDT

RN, Utilization Management - Behavioral Health - USA-MD-Bethesda

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Associate Director, Accreditation - USA-DC-Washington

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...

Associate Director, Accreditation - USA-MD-Bethesda

Fri, 23 Jun 2023 00:00:00 CDT

Pharmacy Messenger (PRN | As Needed) - USA-DC-Washington

Sun, 18 Jun 2023 00:00:00 CDT

Pharmacy Messenger (PRN | As Needed)','230001J9','Under the direct supervision of the Pharmacy Technician Supervisor and Pharmacy Leadership, the Messenger assists in routing and delivering dispensed/...

Business Support Coordinator 1 - Medical Records - USA-DC-Washington

Mon, 26 Jun 2023 00:00:00 CDT