• Home Care Residency

    BAYADA Home Health Care (Dover, DE)
    …BAYADA Apart:** BAYADA's Nurse Residency Program is the ONLY paid, new graduate residency program in home care to earn accreditation by the American ... to learn more!** NER- DE **As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.**… more
    BAYADA Home Health Care (10/19/25)
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  • Care Manager, Telephonic Compact Registered…

    Humana (Dover, DE)
    …must remain structured. As a result, day-to-day flexibility is limited.** + All our RN Care Managers are work at home associates, working from a dedicated ... home office space (see Work at Home Guidance below). + Remote Care Managers...+ Unrestricted Registered Nurse (RN) license in state of residency , with active multistate (compact) status, without disciplinary action.… more
    Humana (09/26/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Dover, DE)
    …established, post- residency clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be ... and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid...a remote position. **Scheduled weekly hours** **:** 40 hours ( full -time): four 10-hour workdays per week, either Friday-Monday or… more
    Humana (08/08/25)
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  • Medical Director - Claims Management

    Humana (Dover, DE)
    …Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
    Humana (10/16/25)
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  • Medical Director - Florida

    Humana (Dover, DE)
    …Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
    Humana (10/03/25)
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  • Pharmacist - Clinical Advisor

    CVS Health (Dover, DE)
    …3+ years of managed care Pharmacist experience and/or 1 year of Managed Care Residency program. - Active pharmacist license that is in good standing. - ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...CVS Health Corporate Hub or can work remotely/work from home within the United States. Clinical Advisors must have… more
    CVS Health (10/08/25)
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  • OneHome - Medical Director - Part Time

    Humana (Dover, DE)
    …various states in region of assignment** + **5+ years of direct clinical patient care experience post residency or fellowship** + **No sanctions from Federal or ... fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests....+ Experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65… more
    Humana (10/17/25)
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  • Medical Director - OneHome

    Humana (Dover, DE)
    …for various states in region of assignment + 5+ years of direct clinical patient care experience post residency or fellowship + No sanctions from Federal or ... fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests....+ Experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65… more
    Humana (09/27/25)
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  • Medical Director-Payment Integrity

    Humana (Dover, DE)
    …Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes experience in an ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized at the Inpatient… more
    Humana (09/26/25)
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  • Medical Director - Mid West Region

    Humana (Dover, DE)
    …Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience ... experience, and judgement to make determinations whether requested services, level of care , and/or site of service should be authorized. All work occurs within… more
    Humana (09/16/25)
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  • Director, Physician Recruiting, PCO

    Humana (Dover, DE)
    …our team as the Head of Talent Acquisition, for our CenterWell Senior Primary Care Organization (PCO). The PCO, including CenterWell and Conviva, delivers care ... plans, and is the largest provider of senior-focused primary care in the country. Across these two brands, the...Talent Acquisition Associate Vice President. This position can be work-at- home /remote, but up to 10% of travel is expected.… more
    Humana (10/18/25)
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