EmploymentCrossing Jobs

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

Sun, 10 Sep 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...

Optician (Full-Time), Towson Town Center - USA-MD-Towson

Mon, 26 Jun 2023 00:00:00 CDT

******* is searching for skilled and enthusiastic Opticians to join our growing team of in-house optical all-stars and play an integral part in what we’re all about—helping people see! In this rol...

Commercial Medical Director - Work At Home - USA-MD-Bethesda

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...

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

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...

Business Support Coordinator 1 - Medical Records - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...

Home Dialysis Registered Nurse - RN - USA-MD-Middle River

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000EUDAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses....

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing ...

Enterprise Clinical Operating Model (ECOM) Intern - USA-MD-Bethesda

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...

Associate Director, Problem, Incident and Event Management - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platfor...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Corporate Strategist - USA-MD-Bethesda

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...

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

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...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MD-Bethesda

Sun, 13 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Bethesda Maryland Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to su...

Associate VP, Technology Solutions, Pharmacy - USA-MD-Bethesda

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Bethesda Maryland Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the bu...

Direct Support Professional - USA-MD-Gaithersburg

Thu, 02 May 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Gaithersburg, MD

Location: Gaithersburg, MD

Department: Jubilee Association of Maryland

Type: Part Time

Min...

Direct Support Professional - USA-MD-Silver Spring

Fri, 03 May 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Silver Spring, MD

Location: Silver Spring, MD

Department: Jubilee Association of Maryland

Type: Part-Time

M...

Direct Support Professional - USA-MD-Rockville

Fri, 03 May 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Silver Spring, MD

Location: Silver Spring, MD

Department: Jubilee Association of Maryland

Type: Part-Time

M...

Senior Pre-Authorization Nurse - USA-MD-Bethesda

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...

Medical Coding Auditor-Remote/Virtual in US - USA-MD-Baltimore

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to pa...

Director, National Medicaid Care Management Strategy and Practice - USA-MD-Bethesda

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...