HealthcareCrossing Jobs

Care Manager, Telephonic Nurse (Bilingual English/Spanish)- Work at Home - USA-OH-Springdale

Mon, 04 Sep 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding mem...

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...

Sr. Clinical Strategy Consultant - Work at Home - USA-OH-Cincinnati

Sun, 13 Aug 2023 00:00:00 CDT

Description The Senior Clinical Business Professional assists in the development and stabilization strategy of all Care Management program activities in all existing, new and expansion markets. This ...

Enterprise Clinical Operating Model (ECOM) Intern - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Intern - General 2 performs duties in field of study or profession. The Intern - General 2 performs varied activities and moderately complex administrative/operational/customer suppor...

Director, National Medicaid Care Management Strategy and Practice - USA-OH-Cincinnati

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...

Patient Care Technician - PCT - USA-OH-Trotwood

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000GDNAvailable Openings 3PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ...

Health Equity Director - Ohio - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Health Equity Director is responsible for setting direction and establishing strategy to advance equitable health outcomes for our members in Ohio. To achieve this, the Health Equity ...

Medical Director - Part Time - USA-OH-Cincinnati

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...

Associate Director, Problem, Incident and Event Management - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platfor...

STNA; CNA; & Home Health Aide - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

A Miracle Homecare Currently looking to fill HHA positions in Cincinnati, Ohio . Flexible schedules, potential for bonus, and the sense of fulfillment as you are helping people in need. Start your new...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-OH-Cincinnati

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...

Corporate Strategist - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future...

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...

Informaticist 2 - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work...

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

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-OH-Cincinnati

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-OH-Cincinnati

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to supp...

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...

Administrative Care Coordinator - USA-OH-Dublin

Wed, 20 Mar 2024 00:00:00 CDT

At The Winchester Institute, we invest in our employees and believe in nurturing our company culture. We know that in order to retain the best, we need to offer the best. We a...