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...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - 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...

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...

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...

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

Mon, 26 Jun 2023 00:00:00 CDT

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...

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...

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...

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...

Nurse Auditor Review - USA-OH-Cincinnati

Thu, 01 Jun 2023 00:00:00 CDT

Easy Access to Indianapolis, Cincinnati - Family Medicine Job Available - USA-OH-Cincinnati

Tue, 30 May 2023 00:00:00 CDT

Family Medicine candidate needed for a Core Faculty position with an accredited Family Medicine residency program. The program is unopposed and approved for 18 resident slots. Enjoy teaching in a si...

Great Work\/Life Balance at this 100% Outpatient Practice near Cincinnati, OH - USA-OH-Cincinnati

Tue, 30 May 2023 00:00:00 CDT

A Family Medicine physician is needed near Cincinnati, Ohio! This excellent opportunity offers a fantastic work\/life balance, is 100% outpatient, and you will have an experienced support staff on han...

Remote Systems Clinical Pharmacist - USA-OH-Cincinnati

Sat, 03 Jun 2023 00:00:00 CDT

Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical ...

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 ...

Senior Sales Enablement Product Marketer - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

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

Quality Improvement Manager - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes quality compliance and quality improvement activities su...

Utilization Management Nurse (LPN) - USA-OH-Cincinnati

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...

Registered Nurse (RN) / Telemetry - USA-OH-Cincinnati

Sat, 10 Jun 2023 00:00:00 CDT

Telemetry assignments in Akron, OH, 13 weeks, 12 hr days and night available, - 2 years recent Tele experience -Neuro/Trauma experience preferred - OH becomes compact state as of January 2023 ...

Senior Copy Writer - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Copy Writer in Cincinnati Ohio Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a creative collec...