EmploymentCrossing Jobs

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

Sun, 10 Sep 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...

Nurse Case Manager - USA-DC-Washington

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000FRDAvailable Openings 1Position Specific Information Dialysis experience required RN license required Full-time role PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-DC-Washington

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...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Director, National Medicaid Care Management Strategy and Practice - USA-DC-Washington

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-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Utilization Management RN (DME / HH Outpatient) - WAH - USA-DC-Washington

Mon, 26 Jun 2023 00:00:00 CDT

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

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...

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

Sun, 13 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MD-Bethesda

Sun, 13 Aug 2023 00:00:00 CDT

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

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-DC-Washington

Sun, 13 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Washington District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursin...

Senior Pre-Authorization Nurse - USA-DC-Washington

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...

Senior Pre-Authorization Nurse - USA-MD-Bethesda

Mon, 11 Sep 2023 00:00:00 CDT

RN, Utilization Management - Behavioral Health - USA-MD-Bethesda

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...

Associate Director, Accreditation - USA-DC-Washington

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...

Associate Director, Accreditation - USA-MD-Bethesda

Fri, 23 Jun 2023 00:00:00 CDT

Clinical Data Product Manager - USA-MD-Bethesda

Sun, 18 Jun 2023 00:00:00 CDT

Description We are seeking a talented and experienced Senior Product Manager to lead the development of our innovative clinical data products, focusing on data-driven clinical insights using the late...

Clinical Data Product Manager - USA-DC-Washington

Sun, 18 Jun 2023 00:00:00 CDT

Director, National Medicaid Care Management Strategy and Practice - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Associate Attorney needed for Washington, DC office - USA-DC-Washington

Wed, 24 Apr 2024 00:00:00 CDT

A law firm in Washington, DC is seeking an experienced Associate Attorney with a strong background in health care and life science (HCLS) law. The ideal candidate should have a minimum of 3 years o...