EmploymentCrossing Jobs

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

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-NJ-Jersey City

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...

Patient Care Technician - PCT - USA-NJ-Montclair

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 210004TMAvailable Openings 3Position Specific Information Located in Montclair, NJ Patient care experience strongly preferredPURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values ...

Director, National Medicaid Care Management Strategy and Practice - USA-NJ-Jersey City

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...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-NJ-Jersey City

Mon, 26 Jun 2023 00:00:00 CDT

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-NJ-Jersey City

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-NJ-Jersey City

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Jersey City New Jersey Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ...

Healthcare Attorney - USA-NJ-Pine Brook

Mon, 06 May 2024 00:00:00 CDT

Pine Brook office of a ******* Top Ranked Law Firm seeks healthcare attorney with 1-5 years of experience....

Senior Pre-Authorization Nurse - USA-NJ-Jersey City

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...

Associate Director, Accreditation - USA-NJ-Jersey City

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accred...

RN, Utilization Management - Behavioral Health - USA-NJ-Jersey City

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...

Patient Care Technician/Medical Assistant-PAID TRAINING PROVIDED. NO EXPERIENCE - USA-NJ-Eatontown

Mon, 19 Jun 2023 00:00:00 CDT

Atlantic AKC6 Industrial Way West Suite B,Eatontown,New Jersey,07724,United States of America 9-12 Week Paid Training Monday through Saturday schedule, (M/W/F OR T/Th/Sa).. Sundays OFF No Dia...

SeniorBridge On-Call RN Care Manager (PRN) - USA-NJ-Monroe Township

Mon, 26 Jun 2023 00:00:00 CDT

Description SeniorBridge is seeking PRN On-Call Care Managers dedicated to delivering the highest quality in-home care services to chronically ill patients utilizing multidisciplinary approach to car...

SeniorBridge On-Call RN Care Manager (PRN) - Livingston, NJ - USA-NJ-Livingston

Mon, 26 Jun 2023 00:00:00 CDT

Regulatory Attorney Healthcare - USA-NJ-Roseland

Sun, 26 May 2024 00:00:00 CDT

A law firm in Roseland is seeking a Regulatory Attorney Healthcare with a minimum of 5 years of experience. The ideal candidate will be a subject matter expert in healthcare regulatory matters, foc...

Healthcare Transactional Attorney - USA-NJ-Roseland

Sun, 26 May 2024 00:00:00 CDT

A law firm located in Roseland is seeking a seasoned Healthcare Transactional Attorney with a minimum of 3 years of experience in an intensive healthcare law environment. The ideal candidate will l...

Healthcare/Commercial Litigation Attorney - USA-NJ-Roseland

Sun, 26 May 2024 00:00:00 CDT

A law firm seeking a Healthcare/Commercial Litigation Attorney in Roseland, NJ. The Healthcare/Commercial Litigation Attorney will represent healthcare professionals, practices, facilities, and oth...

Mid-Level Pharmacy Associate Attorney - USA-NJ-Florham Park

Wed, 29 May 2024 00:00:00 CDT

A law firm is seeking a Mid-Level Pharmacy Associate Attorney to join their team in Florham Park, NJ.

Job Overview:

The Mid-Level Pharmacy Associate Attorney will be responsible for h...

Mid-Level Life Sciences/Pharmaceutical Attorney - USA-NJ-Pine Brook

Wed, 05 Jun 2024 00:00:00 CDT

A law firm is seeking a Mid-Level Life Sciences/Pharmaceutical Attorney for their Pine Brook, NJ office.

Job Overview:

The Mid-Level Life Sciences/Pharmace...

Senior Healthcare Attorney - USA-NJ-Florham Park

Mon, 17 Jun 2024 00:00:00 CDT

Job Overview: A law firm specializing in healthcare law seeks a Senior Healthcare Attorney to provide expert legal counsel on various healthcare matters, ensuring compliance with s...