EmploymentCrossing Jobs

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

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-NY-Albany

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...

Director, National Medicaid Care Management Strategy and Practice - USA-NY-Albany

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-NY-Albany

Mon, 26 Jun 2023 00:00:00 CDT

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

Mon, 19 Jun 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-NY-Albany

Sun, 13 Aug 2023 00:00:00 CDT

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

Senior Pre-Authorization Nurse - USA-NY-Albany

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-NY-Albany

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-NY-Albany

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...

Director, HR Business Partner - CenterWell Primary Care Organization (Clinical and Shared Services) - USA-NY-Albany

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Director, HR Business Partner - CenterWell Primary Care Organization (Clinical and Shared Services) in Albany New York Description CenterWell™ represents our payer-agnostic heal...

Nurse Practitioner-Cardiology - USA-NY-Stony Point

Thu, 01 Jun 2023 00:00:00 CDT

Job Summary: Under the supervision of attending physician(s) and in accordance with New York State laws, the Nurse Practitioner will provide cardiac care for a mid-size cardiology practice in Rocklan...

Remote Systems Clinical Pharmacist - USA-NY-Albany

Sat, 03 Jun 2023 00:00:00 CDT

Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical ...

Complex Nurse Case Manager Remote Kingston or Albany, NY - 2164177I - USA-NY-Albany

Mon, 05 Jun 2023 00:00:00 CDT

Job Code 2164177I Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health out...

Child Protective Services Specialist 1 - USA-NY-Menands

Mon, 05 Jun 2023 00:00:00 CDT

Contact Agency Children & Family Services, Office of Title Child Protective Services Specialist 1 Occupational Category Enforcement or Protective Services Salary Grade 16 Bargaining Unit PS&T - Profes...

Regional Vice President of Operations - USA-NY-Albany

Thu, 08 Jun 2023 00:00:00 CDT

Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by...

Substitute Teacher Assistant - USA-NY-Clifton Park

Sun, 11 Jun 2023 00:00:00 CDT

Substitute Teacher Assistant Job Type Monday – Friday as needed (8:15am – 1:45pm) Clifton Park & Fort Edwards Sites Pay Rate – NYS Teacher Certification: $115.50 per day (0-24 days); $121.00 per day (...

Area Office Director - 51365 - USA-NY-Albany

Sun, 11 Jun 2023 00:00:00 CDT

Contact Agency Health, Department of Title Area Office Director - 51365 Occupational Category Administrative or General Management Salary Grade 663 Bargaining Unit M/C - Management / Confidential (Unr...

Training Specialist 2 - USA-NY-Albany

Sun, 11 Jun 2023 00:00:00 CDT

Contact Agency Mental Health, Office of Title Training Specialist 2 (Temp/Hourly), Central Office; Occupational Category Administrative or General Management Salary Grade NS Bargaining Unit PS&T - Pro...

Clinical Data Product Manager - USA-NY-Albany

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...

Healthcare Compliance Associate Attorney - USA-NY-Albany

Tue, 14 May 2024 00:00:00 CDT

A law firm located in Albany, NY, is seeking a Healthcare Compliance Associate Attorney with 2-5 years of experience in healthcare regulatory compliance matters. The successful candidate will play ...