Specialist Jobs in Lancaster, South Carolina | HealthcareCrossing.com


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88

Specialist Jobs in Lancaster





Job info
 
Company
**********
Location
Rock Hill, SC
Posted Date
Nov 13, 2020
Info Source
Recruiter  - Full-Time  90  

Are you driven to serve and help others in your community? Caregivers and Direct Support Professionals (DSP) are the heart of our company with their compassion, dependability, and care. We are ..

 
Company
**********
Location
Rock Hill, SC
Posted Date
Nov 13, 2020
Info Source
Recruiter  - Full-Time  90  

All Ways Caring HomeCare Offering Competitive Pay, Daily Pay, Travel Reimbursement, Referral Bonuses, CNA Certificate Reimbursement, Flexible Scheduling, Sign on and Retention Bonuses, Employee Discounts, Flexible Health Insurance, Vision, Dental, and ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Dec 02, 2020
Info Source
Employer  - Full-Time  90  

... market. Responsibilities The Clinical Documentation Specialist (CDS) follows state and federal ... medical records. The Clinical Documentation Specialist conducts medication reviews of charts ... clinical diagnoses. The Clinical Documentation..

 
Company
**********
Location
Lancaster, SC
Posted Date
Sep 30, 2022
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, and ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Lancaster South Carolina Description Humana is looking for an experienced Healthcare Investigator to join its ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Sep 23, 2022
Info Source
Employer  - Full-Time  90  

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

 
Company
**********
Location
Lancaster, SC
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

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 and resolves barriers that hinder ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Oct 07, 2022
Info Source
Employer  - Full-Time  90  

Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Sep 05, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Lancaster South Carolina Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Aug 18, 2022
Info Source
Employer  - Full-Time  90  

Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Sep 05, 2022
Info Source
Employer  - Full-Time  90  

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

 
Company
**********
Location
Lancaster, SC
Posted Date
May 13, 2023
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Lancaster, SC
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Dec 27, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Lancaster South Carolina Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Apr 30, 2022
Info Source
Employer  - Full-Time  90  

Description Upstate South Carolina (Oconee County, Anderson, Greenville County) and Northeast GA (Madison, Elbert, Banks, Franklin County) The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 conducts quality assurance review of ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Mar 23, 2021
Info Source
Employer  - Full-Time  90  

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 members/families toward and ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Nov 08, 2021
Info Source
Employer  - Full-Time  90  

Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..

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