HealthcareCrossing Jobs

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

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...

Pharmacy Technician Dr. Call Phones ($500 bonus) Work at Home - USA-OH-Cincinnati

Thu, 07 Sep 2023 00:00:00 CDT

Description Bring your unique talents and perspectives to Humana and help us bring better healthcare solutions to our members. At Humana, you'll have the opportunity to interact with members, provide...

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...

Pharmacy Technician/Pharmacy Technician in Training (Must be located in Ohio) - USA-OH-Springdale

Mon, 26 Jun 2023 00:00:00 CDT

Description The Pharmacy Technician integrates programs developed to improve overall health outcomes with a focus on prescription drugs. The Pharmacy Technician performs varied activities and moderat...

Mail Operations Pharmacy Technician 2 Doctor Call Phones - USA-OH-Springdale

Mon, 26 Jun 2023 00:00:00 CDT

Description The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assign...

Nurse RN - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Job Information Tyson Foods Nurse RN in Cincinnati Ohio Successful applicants for this position must be fully vaccinated against COVID-19 as a condition of employment. Vaccine verification will be req...

Staff Utilization Management Pharmacist (Contract Position) - USA-OH-Cincinnati

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...

Associate VP, Technology Solutions, Pharmacy - USA-OH-Cincinnati

Mon, 19 Jun 2023 00:00:00 CDT

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

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...

RN, Utilization Management - Behavioral Health - USA-OH-Cincinnati

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...

Occupational Health Nurse Or Senior Occupational Health Nurse - Cincinnati, OH - Military Veterans - USA-OH-Cincinnati

Sun, 28 May 2023 00:00:00 CDT

\u003cb\u003e More than a career - a chance to make a difference in people's lives. \u003c/b\u003e\u003cbr\u003e\u003cbr\u003eBuild an exciting, rewarding career with us - help us make a difference fo...

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...

Bilingual Quality Auditor - USA-OH-Cincinnati

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Cincinnati Ohio Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Serv...

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...

Registered Nurse - Informaticist - USA-OH-Cincinnati

Mon, 05 Jun 2023 00:00:00 CDT

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

Pharmacy Technician - USA-OH-Middletown

Mon, 05 Jun 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...

Senior Innovation Portfolio Strategy Professional - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Innovation Portfolio Strategy Professional in Cincinnati Ohio Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and...

Business Support Coordinator 1 - Medical Records - USA-OH-Cincinnati

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 ...