HealthcareCrossing Jobs

Utilization Management Nurse 2 - North Central Region (Work at Home) - USA-IA-Davenport

Fri, 15 Sep 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...

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-IA-Davenport

Mon, 04 Sep 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior S...

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

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...

SeniorBridge Home Care Scheduler/Referral Coordinator-Work at home nationwide - USA-IA-Davenport

Sun, 10 Sep 2023 00:00:00 CDT

Description The Referral Coordinator 2 schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral Coordi...

Utilization Management Nurse 2 - Work at Home (Part-Time - Tuesday/Thursday/Friday) - USA-IA-Davenport

Tue, 08 Aug 2023 00:00:00 CDT

Utilization Management Nurse 2 - Central Region (Work at Home - KS, AR, MO, OK, IA, NE) - USA-IA-Davenport

Tue, 12 Sep 2023 00:00:00 CDT

Commercial Medical Director - Work At Home - USA-IA-Davenport

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...

Senior Provider Contracting Professional - WAH OK, AR, KS, MO, NE - USA-IA-Davenport

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides heal...

Medical Director - Part Time - USA-IA-Davenport

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-IA-Davenport

Mon, 26 Jun 2023 00:00:00 CDT

Staff Utilization Management Pharmacist (Contract Position) - USA-IA-Davenport

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-IA-Davenport

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-IA-Davenport

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-IA-Davenport

Fri, 25 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Davenport Iowa Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to suppo...

Perfect Work\/Life Balance in Davenport, Iowa - USA-IA-Davenport

Tue, 30 May 2023 00:00:00 CDT

Join an established practice in Davenport, Iowa. The group's reputation for excellence has precipitated rapid growth and the need for another provider. Enjoy a wonderful work\/life balance with a 1:4 ...

Physician-Home Based Primary Care-Recruitment/Relocation Incentive Authorized - USA-IA-Davenport

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...

Senior Sales Enablement Product Marketer - USA-IA-Davenport

Sat, 10 Jun 2023 00:00:00 CDT

Job Information Humana Senior Sales Enablement Product Marketer in Davenport Iowa Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer who...

Utilization Management Nurse (LPN) - USA-IA-Davenport

Sun, 18 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

RN - Telephonic Utilization Management Nurse - Weekends (Central Region) - USA-IA-Davenport

Tue, 13 Jun 2023 00:00:00 CDT

Director, National Medicaid Care Management Strategy and Practice - USA-IA-Davenport

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...