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...

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...

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

Mon, 26 Jun 2023 00:00:00 CDT

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...

Direct Support Professional - USA-MD-Gaithersburg

Fri, 06 Sep 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-Rockville

Sat, 07 Sep 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...

RN Case Manager - Telephonic Nurse 2 - Complex Case Management Program (Remote) - USA-MD-Bethesda

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...

Registered Nurse (RN) / Progressive Care Unit (PCU) - USA-VA-Arlington

Tue, 11 Apr 2023 00:00:00 CDT

Clinton, MD - IMCU/PCU assignment, 12 hr days, 13 weeks, 2 years experience required We can help you achieve your career goals by connecting you to our diverse healthcare clients close to home o...

RN Case Management Process Advisor - USA-MD-Bethesda

Fri, 14 Apr 2023 00:00:00 CDT

Description The RN Case Management Process Advisor also known as a Case Management Liaison (CML) will oversee the processing of referrals from Military Treatment Facilities (MTFs) and civilian provid...

RN Care Manager - Remote, nationwide - USA-MD-Bethesda

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-MD-Bethesda

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...

RN, Senior Stars Improvement, Clinical Professional - USA-MD-Bethesda

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Bethesda Maryland Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Profe...

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...

RN, Utilization Management - Behavioral Health - USA-MD-Bethesda

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-MD-Bethesda

Thu, 11 May 2023 00:00:00 CDT

Pre-Authorization Nursing Supervisor - USA-MD-Bethesda

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...

Associate Director, Senior Patient Safety Scientist - Military Veterans - USA-MD-Gaithersburg

Sun, 28 May 2023 00:00:00 CDT

\u003cb\u003e\u003cb\u003eRole: Associate Director, Senior Patient Safety Scientist\u003c/b\u003e\u003c/b\u003e\u003cbr\u003e\u003cbr\u003e\u003cb\u003e\u003cb\u003eLocation: Onsite Gaithersburg, MD\u...

Psychiatric Nurse Practitioner (PMHNP) Sign-On Bonus - USA-VA-Lansdowne

Fri, 02 Jun 2023 00:00:00 CDT

We offer Nurse Practitioners: Sign-On Bonus! Full-Time W2 positions. Strong work/life balance. Flexible work schedules, Set your own hours! On-Site & Hybrid Positions , offering both In-per...

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...

EmploymentCrossing Jobs

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

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

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

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

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

Direct Support Professional - USA-MD-Gaithersburg

Direct Support Professional - USA-MD-Rockville

RN Case Manager - Telephonic Nurse 2 - Complex Case Management Program (Remote) - USA-MD-Bethesda

Registered Nurse (RN) / Progressive Care Unit (PCU) - USA-VA-Arlington

RN Case Management Process Advisor - USA-MD-Bethesda

RN Care Manager - Remote, nationwide - USA-MD-Bethesda

Compliance Nurse - Home Solutions UM - USA-MD-Bethesda

RN, Senior Stars Improvement, Clinical Professional - USA-MD-Bethesda

Senior Pre-Authorization Nurse - USA-MD-Bethesda

RN, Utilization Management - Behavioral Health - USA-MD-Bethesda

Nurse Auditor Review - USA-MD-Bethesda

Pre-Authorization Nursing Supervisor - USA-MD-Bethesda

Associate Director, Senior Patient Safety Scientist - Military Veterans - USA-MD-Gaithersburg

Psychiatric Nurse Practitioner (PMHNP) **Sign-On Bonus** - USA-VA-Lansdowne

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

Psychiatric Nurse Practitioner (PMHNP) Sign-On Bonus - USA-VA-Lansdowne