EmploymentCrossing Jobs

Long Term Caregiver - USA-PA-Doylestown

Fri, 15 Sep 2023 00:00:00 CDT

Are you looking for a career helping others? Looking for a company that values passion and rewards its employees with great benefits? Your search is over - Visiting Angels is where you belong Visiting...

Weekend Caregiver - USA-PA-Doylestown

Fri, 15 Sep 2023 00:00:00 CDT

Live-in Caregiver - USA-PA-Doylestown

Fri, 15 Sep 2023 00:00:00 CDT

Caregivers-Weekends - USA-PA-Lansdale

Mon, 28 Aug 2023 00:00:00 CDT

Are you a compassionate Caregiver with the dedication and professionalism it takes to work for our agency? Do you want to feel appreciated and rewarded for the demanding work that you do? SYNERGY Home...

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...

Patient Care Technician - PCT - USA-PA-New Bloomfield

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000FHBAvailable Openings 1Position Specific Information Clinic hours 5am - 5pm- Must be flexible PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philoso...

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...

Commercial Medical Director - Work At Home - USA-PA-Pittsburgh

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...

Lead Quality Technology Leader - Healthcare Services & Group (Remote) - USA-PA-Pittsburgh

Mon, 26 Jun 2023 00:00:00 CDT

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new challenges and ...

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...

Patient Care Technician - PCT - USA-PA-Towanda

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000FDBAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ...

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

Mon, 26 Jun 2023 00:00:00 CDT

Corporate Strategist - USA-PA-Pittsburgh

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future...

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...

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 ...

Enterprise Clinical Operating Model (ECOM) Intern - USA-PA-Pittsburgh

Mon, 26 Jun 2023 00:00:00 CDT

Description The Intern - General 2 performs duties in field of study or profession. The Intern - General 2 performs varied activities and moderately complex administrative/operational/customer suppor...

Bilingual Patient Engagement Specialist - USA-PA-Sharon Hill

Thu, 30 May 2024 00:00:00 CDT

The Patient Engagement Specialist is to make outbound calls to contracted covered entity patients who are not receiving pharmacy services by an affiliated pharmacy. Individual will explain the valu...