NursingCrossing Jobs

Utilization Management Nurse 2 - North Central Region (Work at Home) - USA-IA-Davenport

Fri, 15 Sep 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 -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-IA-Davenport

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...

Utilization Management Nurse 2 - Work at Home (Part-Time - Tuesday/Thursday/Friday) - USA-IA-Davenport

Tue, 08 Aug 2023 00:00:00 CDT

Utilization Management Nurse 2 - Central Region (Work at Home - KS, AR, MO, OK, IA, NE) - USA-IA-Davenport

Tue, 12 Sep 2023 00:00:00 CDT

Utilization Management RN (DME / HH Outpatient) - WAH - USA-IA-Davenport

Mon, 26 Jun 2023 00:00:00 CDT

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

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-IA-Davenport

Fri, 25 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Davenport Iowa Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to suppo...

RN Care Manager - Remote, nationwide - USA-IA-Davenport

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-IA-Davenport

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-IA-Davenport

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Davenport Iowa Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professi...

Provider Dispute Utilization Management Nurse (Central Region) - USA-IA-Davenport

Sat, 22 Apr 2023 00:00:00 CDT

RN, Utilization Management - Behavioral Health - USA-IA-Davenport

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-IA-Davenport

Thu, 11 May 2023 00:00:00 CDT

Utilization Management Nurse (South Central Region) - USA-IA-Davenport

Thu, 11 May 2023 00:00:00 CDT

Telephonic Psychiatric RN Care Manager - USA-IA-Davenport

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...

Utilization Management Nurse (Central Region) - USA-IA-Davenport

Tue, 30 May 2023 00:00:00 CDT

Physician-Home Based Primary Care-Recruitment/Relocation Incentive Authorized - USA-IA-Davenport

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n To qualify for this position, you must meet the basic requirements as well as any additio...

Utilization Management Nurse (LPN) - USA-IA-Davenport

Sun, 18 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...

RN - Telephonic Utilization Management Nurse - Weekends (Central Region) - USA-IA-Davenport

Tue, 13 Jun 2023 00:00:00 CDT

Director, National Medicaid Care Management Strategy and Practice - USA-IA-Davenport

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...