EmploymentCrossing Jobs

Inside Sales SWAT Executive - USA-LA-Metairie

Mon, 26 Jun 2023 00:00:00 CDT

Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assig...

Quality Engineering Technician 3 - USA-LA-Metairie

Mon, 26 Jun 2023 00:00:00 CDT

Description The Quality Engineering Technician 3 carries out procedures to ensure that all information systems products and services meet organization standards and end-user requirements. The Quality...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-LA-Metairie

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...

Grievance & Appeals Representative 3 - USA-LA-Metairie

Mon, 26 Jun 2023 00:00:00 CDT

Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appea...

Grievances and Appeals Representative 4 - Work at Home/Remote CST/EST - USA-LA-Metairie

Wed, 30 Aug 2023 00:00:00 CDT

Description Responsibilities The Grievances & Appeals Representative 4 assists members, via phone or face to face, further/support quality related goals. Reviews the level 1 appeals cases and ensure...

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

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-LA-Metairie

Fri, 04 Aug 2023 00:00:00 CDT

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

RN Case Manager - Telephonic Nurse 2 - Complex Case Management Program (Remote) - USA-LA-Metairie

Fri, 07 Apr 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...

Utilization Management & Medical Coding Registered Nurse, RN - USA-LA-Metairie

Fri, 16 Dec 2022 00:00:00 CST

Care Management Support Assistant BILINGUAL - USA-LA-Metairie

Sun, 18 Dec 2022 00:00:00 CST

Description The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements t...

Home Health Utilization Management Nurse - USA-LA-Metairie

Sun, 25 Dec 2022 00:00:00 CST

Bilingual Production Professional (English/Spanish) - USA-LA-Metairie

Sun, 25 Dec 2022 00:00:00 CST

Description Responsibilities Humana's Corporate Marketing organization is seeking 2 Bilingual Production Professionals that are fluent in both English and Spanish to join the Humana Translation team...

Home Health Utilization Management - USA-LA-Metairie

Sat, 22 Apr 2023 00:00:00 CDT

Broker Relationship Executive - USA-LA-Metairie

Thu, 20 Apr 2023 00:00:00 CDT

Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability...

Process Improvement Lead - Provider Payment Integrity - USA-LA-Metairie

Sat, 29 Apr 2023 00:00:00 CDT

Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes...

RN, Utilization Management - Behavioral Health - USA-LA-Metairie

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...

Agency Broker Executive - Life Insurance - USA-LA-Metairie

Fri, 25 Aug 2023 00:00:00 CDT

Description The Agency Broker Executive - Life Insurance places outbound calls based on leads, and completes the sales of products and/or services. The Agency Broker Executive work assignments are va...

Utilization Management Nurse (LPN) - USA-LA-Metairie

Sat, 10 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...

Inbound Contact Representative 2 - CarePlus - USA-LA-Metairie

Sun, 18 Jun 2023 00:00:00 CDT

Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and...

Litigation Attorney - USA-LA-Gretna

Fri, 26 Apr 2024 00:00:00 CDT

A law firm in Gretna, LA, is seeking a highly skilled Litigation Attorney with specialized knowledge in personal injury law. The successful candidate will manage assigned cases actively, communicat...