HealthcareCrossing Jobs

Caregivers NEEDED - IMMEDIATE OPENING !!! Anne Arundel County E/o Weekend - USA-MD-Annapolis

Wed, 23 Aug 2023 00:00:00 CDT

We are looking for caring, dependable, and upbeat personal caregivers in Anne Arundel County, Maryland to provide non-medical care, within a private home setting for our older generation. As a caregiv...

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...

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...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

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 ...

Home Dialysis Registered Nurse - RN - USA-MD-Middle River

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000EUDAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses....

Medical Director - Part Time - USA-MD-Bethesda

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...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

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...

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

Sun, 13 Aug 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...

Medical Director - Work at Home - USA-MD-Bethesda

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MD-Bethesda

Sun, 13 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Bethesda Maryland Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to su...

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-MD-Bethesda

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...

Medical Coding Auditor-Remote/Virtual in US - USA-MD-Baltimore

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Coding 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...

Director, National Medicaid Care Management Strategy and Practice - USA-MD-Bethesda

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...

Medical Malpractice Associate (Towson Office): - USA-MD-Towson

Wed, 28 Feb 2024 00:00:00 CST

Opportunity available for an Associate with three to four years’ medical malpractice or personal injury experience. Candidates should have excellent writing, research and analytical skills. Admiss...