HealthcareCrossing Jobs

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

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-MO-Springfield

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-MO-Springfield

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-MO-Springfield

Tue, 08 Aug 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...

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

Tue, 12 Sep 2023 00:00:00 CDT

IMMEDIATE CNA POSITIONS! APPLY TODAY! START TOMORROW! - USA-MO-Jefferson City

Mon, 26 Jun 2023 00:00:00 CDT

Personal Care strives to distinguish ourselves from any other home care agency by providing genuine care to our clients. We do this in part by making sure we select the right members to join our team....

RN Care/Case Manager - CenterWell - Kansas City - USA-MO-Raytown

Mon, 26 Jun 2023 00:00:00 CDT

Description CenterWell Senior Primary Care, a subsidiary of ******* , is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana...

Commercial Medical Director - Work At Home - USA-MO-Springfield

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...

Nurse Manager - Sedalia, MO - USA-MO-Sedalia

Mon, 26 Jun 2023 00:00:00 CDT

Successful applicants for this position must be fully vaccinated against COVID-19 as a condition of employment. Vaccine verification will be required by October 1, 2021 for Corporate based team member...

Director, National Medicaid Care Management Strategy and Practice - USA-MO-Springfield

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...

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing ...

Nurse Practitioner or Physician Assistant - USA-MO-Saint Charles

Mon, 26 Jun 2023 00:00:00 CDT

Mercy Clinic is seeking a Nurse Practitioner or Physician Assistant to join a premiere medi...

Associate Director, Problem, Incident and Event Management - USA-MO-Springfield

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...

Patient Care Technician Preceptor - PCT - USA-MO-Cape Girardeau

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000EU9Available Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Corporate Strategist - USA-MO-Springfield

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...

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

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...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MO-Springfield

Fri, 04 Aug 2023 00:00:00 CDT

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

Business Support Coordinator 1 - Medical Records - USA-MO-Springfield

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 ...

Enterprise Clinical Operating Model (ECOM) Intern - USA-MO-Springfield

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...