Utilization Management Jobs in Douglas Qld

City/StateVirginia Beach VAWork ShiftFirst (Days)Provider SpecialtyUrgent CareOverview:The Urgent Care APP (NP or PA) is responsible for the provision of health care services to individuals families and/or groups who receive their care under the auspices of Sentara Medical Group (SMG). Health care s...

Senior IT Interface Analyst Epic Tapestry Location: Troy MI 48083 (Remote with occasional onsite travel during Go-Live) Duration: 32 Weeks Contract-to-Hire Interview Process: MS Teams 30-minute initial interview followed by panel interview Position Summary We are seeking an experienced Senio...

The Social Worker Discharge Planning reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.The Social Worker is respo...

Employment Type:Full timeShift:Day ShiftDescription:Position SummaryThe Nurse Manager Case Management provides strategic and operational leadership for inpatient care coordination case management and utilization management services. This role partners with physicians hospital leadership and system...

Scope of workProvides health information interacts and acts as a resource for providers for complex clinical situations to ensure appropriate use of preservice and concurrent acute medical and/or behavioral health care services. Assesses appropriateness of preservice and concurrent requests for admi...

About UsAtCooper University Health Care our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities equipment technologies and research protocols. W...

Find your calling at Mercy!The Care Management model provides effective transition planning and length of stay oversight while encompassing quality patient care patient safety and financial components; promotes integration of a seamless care model; coordinates patient throughput; encourages healthca...

OverviewOpportunities for you!Comprehensive relocation package and concierge serviceConsecutively recognized as a top employer by Forbes and in 2025 by NewsweekFree Continuing Education and certification including BLS ACLS and PALSTuition reimbursement educationprogramsand scholarshipsVacation time...

DATE: June 17 2026POSITION: Clinical Administrative CoordinatorDEPARTMENT: Clinical Services Quality ManagementRATE: $22.00 per hour with the potential for additional compensation based on qualifications.POSITION SUMMARY:The Clinical Administrative Coordinator provides advanced administrative and o...

**Recruiting only in the County of Chippewa Michigan.**DATE: June 15 2026POSITION: Remote Community Based Clinical Coordinator - Care ManagerDEPARTMENT: Clinical ServicesRATE: $29.72 per hour with potential for additional compensation based on qualifications.POSITION SUMMARY:Performs assigned clinic...

About this Job The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical preventive and rehabilitative services for all residents of the State of Louisiana.Learn more about Louisiana Department of HealthThe Louisiana Department of Health (LDH)...

**Recruiting only in the County of Luce Michigan.**DATE: June 15 2026POSITION: Remote Community Based Clinical Coordinator - Care ManagerDEPARTMENT: Clinical ServicesRATE: $29.72 per hour with potential for additional compensation based on qualifications.POSITION SUMMARY:Performs assigned clinical f...

Its more than a career its a callingWI-SSM Health St. Marys Hospital - MadisonWorker Type:RegularJob Highlights:Schedule: Monday - Friday 8:00 am - 4:30 pm with every 12th weekend rotation and 1 required holiday per yearPrior Case Management and/or Med/Surg or Post-Acute hospital experience preferre...

We are recruiting for a mission-driven Registered Nurse Utilization Coordinator - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) to join our team!Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every da...

Job Family:Patient Access GeneralTravel Required:NoneClearance Required:NoneWhat You Will Do:The Patient Access Representative Notification of Admission Specialist supports Guidehouses healthcare revenue cycle operations by completing accurate timely payer notifications for inpatient and observatio...

Department:11229 Carolinas Medical Center - Care ManagementStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:8a-4:30pPay Range:$47.50 - $71.25Job Profile SummaryProvides leadership and oversight of the Care Management (CM)/Social Work (SW) program and sta...

At York Hospital were more than a hospital. We are a team of providers clinicians and staff members offering expertise within a Hospital setting our community sites and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers commitment is to make a positive differen...

Role: Technical Product Manager Location: MinneapolisMN. Hybrid 3 days onsite per week W2 Position Name Healthcare HIPAA JD: Required Experience (Healthcare Focus) 10 years of experience in technology product management or platform product roles Proven tra...

Senior Epic Tapestry Consultant (Utilization Management / Managed Care) Remote 6-12 months CTH Role Overview Seeking an experienced Epic Tapestry Certified Consultant to support Utilization Management (UM) workflows within a Managed Care environment. This role involves handson configuration testing...

Registered Nurse Looking for Utilization Management AND Education experience.Scope of work: In conjunction with Medical Management leadership coordinates the educational plan for the Behavioral Health Care Management and Utilization Management departments. Stakeholders include staff physicians depar...