EmploymentCrossing Jobs

Sr. Clinical Strategy Consultant - Work at Home - USA-GA-Atlanta

Mon, 19 Jun 2023 00:00:00 CDT

Description The Senior Clinical Business Professional assists in the development and stabilization strategy of all Care Management program activities in all existing, new and expansion markets. This ...

Patient Care Technician - PCT - USA-GA-Stone Mountain

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000FY6Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ...

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

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 Care/Case Manager- CenterWell - Atlanta, GA - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Description CenterWell Senior Primary Care, a subsidiary of ******* , is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana...

Physician - CenterWell - Atlanta, GA - Old National - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Job Information Humana Physician - CenterWell - Atlanta, GA - Old National in Atlanta Georgia Description CenterWell Senior Primary Care, a subsidiary of ******* , is the new brand for a primary ca...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

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

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...

Senior Pre-Authorization Nurse - USA-GA-Atlanta

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 Medical Director - USA-GA-Atlanta

Fri, 23 Jun 2023 00:00:00 CDT

Description The Associate Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Associate Medical Director requires a solid understan...

Associate Director, Accreditation - USA-GA-Atlanta

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-GA-Atlanta

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...

RN - Senior Stars Improvement, Clinical Professional - Must reside in Georgia or South Carolina - USA-GA-Atlanta

Sat, 13 May 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional (RN) responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Sen...

Stars Improvement Nurse - USA-GA-Atlanta

Sat, 13 May 2023 00:00:00 CDT

Description The Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Stars Improveme...

Registered Nurse Inpatient Rehab Winter Park FT Days - USA-GA-Atlanta

Fri, 02 Jun 2023 00:00:00 CDT

Description All the benefits and perks you need for you and your family: *$10,000 Sign-on Bonus and up to $3,000 Relocation available for eligible candidates (see terms below) Team Based Nurs...

Nurse Manager - USA-GA-Decatur

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Applicants pending the completion of educational or certification/licensure requirements ...

Clinical Manager HT II - USA-GA-Atlanta

Mon, 19 Jun 2023 00:00:00 CDT

PURPOSE AND SCOPE:Responsible for the day-to-day program operations and supporting the growth of the assigned single site Home Therapies program in coordination with the Business Unit management, in-c...

Registered Nurse (RN) / Intensive Care Unit (ICU) - USA-GA-Sandy Springs

Sat, 10 Jun 2023 00:00:00 CDT

Flexible schedule! Great Pay! We are currently looking for experienced Health Care Providers to become a part of our team. Enjoy the freedom and flexibility of working with an agency. Competitive pay,...

Utilization Management Nurse (LPN) - USA-GA-Atlanta

Sat, 10 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Home Health LPN/LVN - USA-GA-Atlanta

Tue, 13 Jun 2023 00:00:00 CDT

Job Information Humana Home Health LPN/LVN in Atlanta Georgia Description Responsibilities The Home Health Nursing, LPN/LVN enables patients to stay in their homes by providing health and personal ser...

Home Health Registered Nurse - USA-GA-Atlanta

Tue, 13 Jun 2023 00:00:00 CDT

Job Information Humana Home Health Registered Nurse in Atlanta Georgia Description Responsibilities As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up sk...