Commercial Medical Director - Work At Home - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Medical Director - Florida Medicaid - USA-MO-Springfield

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work as...

RN Case Manager - Telephonic Nurse 2 - Complex Case Management Program (Remote) - USA-MO-Springfield

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...

Medical Director-KY Medicaid - USA-MO-Springfield

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Certified Registered Nurse Anesthetist CRNA or AA - Springfield Missouri - USA-MO-Springfield

Sat, 07 Jan 2023 00:00:00 CST

Grievances and Appeals Medical Director - Nationwide - USA-MO-Springfield

Sat, 22 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Medical Director - Claims Management - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - South Central - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

DoD SkillBridge, Veteran, Military Spouse Illinois Care Coordinator - USA-IL-Springfield

Thu, 27 Apr 2023 00:00:00 CDT

Job Information Humana DoD SkillBridge, Veteran, Military Spouse Illinois Care Coordinator in Springfield Illinois Description The Field Care Coach performs varied services to evaluate members needs t...

Medical Director - Behavioral Health - Tricare - USA-MO-Springfield

Thu, 20 Apr 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...

RN, Field Care Manager, Maternity, L&D, Mother Baby - USA-OH-Springfield

Sat, 22 Apr 2023 00:00:00 CDT

Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Springfield Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, Mot...

Grievances and Appeals Medical Director - Weekends Required - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

DoD SkillBridge, Military Spouse, Care Management, Registered Nurse - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the busines...

Care Coordinator - USA-IL-Springfield

Thu, 27 Apr 2023 00:00:00 CDT

Job Information Humana Care Coordinator in Springfield Illinois Description The Care Coach Coordinator assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellnes...

Behavioral Health Medical Director - Tricare - USA-MO-Springfield

Fri, 28 Apr 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

DoD SkillBridge Military, Veteran, Military Spouse Illinois Care Coordinator - USA-IL-Springfield

Mon, 01 May 2023 00:00:00 CDT

Job Information Humana DoD SkillBridge Military, Veteran, Military Spouse Illinois Care Coordinator in Springfield Illinois Description The Field Care Coach performs varied services to evaluate member...

MDS Coordinator - LPN - USA-VT-Springfield

Fri, 12 May 2023 00:00:00 CDT

Sign On Bonuses for RN's and LPN's! Full Time: $10,000 Part Time: $5,000 Put your licensed practical nursing skills to a different use as a MDS Coordinator at Genesis! We are an industry leader...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Springfield

Sat, 13 May 2023 00:00:00 CDT

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance ...

Data Engineer Marketing Platforms - USA-MO-Springfield

Sat, 13 May 2023 00:00:00 CDT

Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we...

Telephonic Psychiatric RN Care Manager - USA-MO-Springfield

Wed, 24 May 2023 00:00:00 CDT

Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state...

EmploymentCrossing Jobs

Commercial Medical Director - Work At Home - USA-MO-Springfield

Medical Director - Florida Medicaid - USA-MO-Springfield

RN Case Manager - Telephonic Nurse 2 - Complex Case Management Program (Remote) - USA-MO-Springfield

Medical Director-KY Medicaid - USA-MO-Springfield

Certified Registered Nurse Anesthetist CRNA or AA - Springfield Missouri - USA-MO-Springfield

Grievances and Appeals Medical Director - Nationwide - USA-MO-Springfield

Medical Director - Claims Management - USA-MO-Springfield

Medical Director - South Central - USA-MO-Springfield

DoD SkillBridge, Veteran, Military Spouse Illinois Care Coordinator - USA-IL-Springfield

Medical Director - Behavioral Health - Tricare - USA-MO-Springfield

RN, Field Care Manager, Maternity, L&D, Mother Baby - USA-OH-Springfield

Grievances and Appeals Medical Director - Weekends Required - USA-MO-Springfield

DoD SkillBridge, Military Spouse, Care Management, Registered Nurse - USA-MO-Springfield

Care Coordinator - USA-IL-Springfield

Behavioral Health Medical Director - Tricare - USA-MO-Springfield

DoD SkillBridge Military, Veteran, Military Spouse Illinois Care Coordinator - USA-IL-Springfield

MDS Coordinator - LPN - USA-VT-Springfield

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Springfield

Data Engineer Marketing Platforms - USA-MO-Springfield

Telephonic Psychiatric RN Care Manager - USA-MO-Springfield