EmploymentCrossing Jobs

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

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-OH-Cincinnati

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...

Nurse RN - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Job Information Tyson Foods Nurse RN in Cincinnati Ohio Successful applicants for this position must be fully vaccinated against COVID-19 as a condition of employment. Vaccine verification will be req...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-OH-Cincinnati

Fri, 04 Aug 2023 00:00:00 CDT

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

RN Care Manager - Remote, nationwide - USA-OH-Cincinnati

Sat, 22 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies an...

Compliance Nurse - Home Solutions UM - USA-OH-Cincinnati

Sat, 22 Apr 2023 00:00:00 CDT

Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prev...

Utilization Management Nurse PH - USA-OH-Cincinnati

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana Healthy Horizons is seekign a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination, documentation and communication of medical services a...

Utilization Management Nurse - Retro (Midwest Region) - USA-OH-Cincinnati

Sat, 22 Apr 2023 00:00:00 CDT

Senior Utilization Management Behavioral Health Professional - USA-OH-Cincinnati

Thu, 20 Apr 2023 00:00:00 CDT

Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical s...

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

Sat, 22 Apr 2023 00:00:00 CDT

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

Senior Pre-Authorization Nurse - USA-OH-Cincinnati

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...

RN, Utilization Management - Behavioral Health - USA-OH-Cincinnati

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...

Nurse Auditor Review - USA-OH-Cincinnati

Thu, 01 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...

Pre-Authorization Nursing Supervisor - USA-OH-Cincinnati

Sat, 13 May 2023 00:00:00 CDT

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward reques...

Stars Improvement Nurse - USA-OH-Cincinnati

Sun, 21 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...

Telephonic Psychiatric RN Care Manager - USA-OH-Cincinnati

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...

Delivery Driver RX Tech - Back End Full Time - USA-OH-Cincinnati

Sat, 27 May 2023 00:00:00 CDT

Job Description As a Delivery Driver and Pharmacy Technician for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule. Delivery dr...

Occupational Health Nurse Or Senior Occupational Health Nurse - Cincinnati, OH - Military Veterans - USA-OH-Cincinnati

Sun, 28 May 2023 00:00:00 CDT

\u003cb\u003e More than a career - a chance to make a difference in people's lives. \u003c/b\u003e\u003cbr\u003e\u003cbr\u003eBuild an exciting, rewarding career with us - help us make a difference fo...

Registered Nurse - Informaticist - USA-OH-Cincinnati

Mon, 05 Jun 2023 00:00:00 CDT

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