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

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...

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

Tue, 12 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...

Orthopedic Physician Assistant - USA-AR-Rogers

Mon, 26 Jun 2023 00:00:00 CDT

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Neurosurgery Advanced Practice Provider - USA-AR-Rogers

Mon, 26 Jun 2023 00:00:00 CDT

We’re a Little Different

Nurse Manager - Tyson of Rogers - USA-AR-Rogers

Mon, 26 Jun 2023 00:00:00 CDT

Occupational health nursing is the specialty practice that delivers health and safety programs and services to workers and worker populations. The practice focuses on promotion and restoration of hea...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-AR-Rogers

Mon, 26 Jun 2023 00:00:00 CDT

Caregivers Love Cornerstone! - USA-AR-Springdale

Mon, 26 Jun 2023 00:00:00 CDT

Cornerstone Caregiving is expanding our staff to include more Caregivers! If you have ever wanted to work one on one with a patient in their home then we encourage you to apply now! We have 12 hour da...

Commercial Medical Director - Work At Home - USA-AR-Rogers

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...

Director, National Medicaid Care Management Strategy and Practice - USA-AR-Rogers

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 Coding Auditor-Remote/Virtual in US - USA-AR-Bentonville

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...

Medical Director - Part Time - USA-AR-Rogers

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...

Nurse RN - USA-AR-Springdale

Mon, 26 Jun 2023 00:00:00 CDT

Job Information Tyson Foods Nurse RN in Springdale Arkansas Successful applicants for this position must be fully vaccinated against COVID-19 as a condition of employment. Vaccine verification will be...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-AR-Rogers

Mon, 26 Jun 2023 00:00:00 CDT

Staff Utilization Management Pharmacist (Contract Position) - USA-AR-Rogers

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-AR-Rogers

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-AR-Rogers

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-AR-Rogers

Fri, 04 Aug 2023 00:00:00 CDT

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

Physician Strategy Sr. Professional - USA-AR-Rogers

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking a Physician Strategy Sr. Professional to join our growing team. The Physician Strategy professional will be responsible for setting and implementing strategy for interna...

RN, Utilization Management - Behavioral Health - USA-AR-Rogers

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...

Business Support Coordinator 1 - Medical Records - USA-AR-Rogers

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 ...

HealthcareCrossing Jobs

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

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

Orthopedic Physician Assistant - USA-AR-Rogers

Neurosurgery Advanced Practice Provider - USA-AR-Rogers

Nurse Manager - Tyson of Rogers - USA-AR-Rogers

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-AR-Rogers

Caregivers Love Cornerstone! - USA-AR-Springdale

Commercial Medical Director - Work At Home - USA-AR-Rogers

Director, National Medicaid Care Management Strategy and Practice - USA-AR-Rogers

Medical Coding Auditor-Remote/Virtual in US - USA-AR-Bentonville

Medical Director - Part Time - USA-AR-Rogers

Nurse RN - USA-AR-Springdale

Utilization Management RN (DME / HH Outpatient) - WAH - USA-AR-Rogers

Staff Utilization Management Pharmacist (Contract Position) - USA-AR-Rogers

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

Medical Director - Work at Home - USA-AR-Rogers

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-AR-Rogers

Physician Strategy Sr. Professional - USA-AR-Rogers

RN, Utilization Management - Behavioral Health - USA-AR-Rogers

Business Support Coordinator 1 - Medical Records - USA-AR-Rogers