EmploymentCrossing Jobs

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

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-PA-Pittsburgh

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...

Business Support Coordinator 1 - Medical Records - USA-PA-Pittsburgh

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 ...

Travel Dialysis Registered Nurse - New Castle PA - USA-PA-New Castle

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000GQRAvailable Openings 1Fresenius Travel Nurse Program: As part of the Fresenius Travel Nurse program, you’ll have a unique opportunity to build your career in a flexible, autonomous envir...

Director, National Medicaid Care Management Strategy and Practice - USA-PA-Pittsburgh

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 Director - Part Time - USA-PA-Pittsburgh

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...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-PA-Pittsburgh

Mon, 26 Jun 2023 00:00:00 CDT

Staff Utilization Management Pharmacist (Contract Position) - USA-PA-Pittsburgh

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-PA-Pittsburgh

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-PA-Pittsburgh

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-PA-Pittsburgh

Fri, 04 Aug 2023 00:00:00 CDT

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

Associate VP, Technology Solutions, Pharmacy - USA-PA-Pittsburgh

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Pittsburgh Pennsylvania Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with ...

Senior Pre-Authorization Nurse - USA-PA-Pittsburgh

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...

Mid-level Associate Attorney needed for Pittsburgh office - USA-PA-Pittsburgh

Thu, 25 Apr 2024 00:00:00 CDT

Job Overview: A law firm seeks a Mid-level Associate Attorney to join the Corporate - Capital Markets and Public Companies practice. The ideal candidate will have large law firm experience, excelle...

Corporate Associate Attorney - USA-PA-Pittsburgh

Thu, 02 May 2024 00:00:00 CDT

A law firm in Pittsburgh is actively seeking a Corporate Associate Attorney with 5-7 years of experience, emphasizing general corporate and business transactions, particularly in mergers and acquis...

Corporate Attorney - USA-PA-Pittsburgh

Thu, 02 May 2024 00:00:00 CDT

A law firm in Pittsburgh, PA is seeking a Corporate Attorney with 8-10 years of law firm or clerkship experience. The ideal candidate will focus on transactional work, specifically mergers, acquisi...

Medicare Compliance Associate Attorney - USA-PA-Pittsburgh

Wed, 13 Mar 2024 00:00:00 CDT

Job Title: Medicare Compliance Associate Attorney

Job Overview: A law firm in Pittsburgh, PA, is seeking a Medicare Compliance Associate Attorney to provide comprehensive consultation on Medi...

Environmental Associate Attorney - USA-PA-Pittsburgh

Thu, 02 May 2024 00:00:00 CDT

A law firm is seeking an Environmental Associate Attorney for its Pittsburgh, PA office.

Job Overview:

The Environmental Associate Attorney will be responsible for providing legal sup...

Litigation Associate Attorney - USA-PA-Pittsburgh

Tue, 14 May 2024 00:00:00 CDT

A law firm is seeking a Litigation Associate Attorney for their Pittsburgh office.

Job Overview:

The Litigation Associate Attorney will handle complex, hig...

Litigation Associate Attorney - USA-PA-Pittsburgh

Fri, 03 May 2024 00:00:00 CDT

A law firm is seeking a Litigation Associate Attorney for their Pittsburgh, PA office. Here's the job description:

Job Overview:

The Litigation Associate Attorney will be responsi...