Utilization Management Jobs in Douglas Qld

DescriptionAssociate Medical Director Health Care Services (MD/CQCT)This recruitment is posted continuously. Application review will begin on6/11/2026and you are encouraged to submit your application materials as soon as possible. The hiring manager reserves the right to close the posting at any tim...

Anticipated End Date:Position Title:Transplant Nurse IIJob Description:Transplant Nurse IILocation: Virtual: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes producti...

Job DescriptionSenior Scientist Hybrid Modeler Digital Insights DSCS Digital TechnologiesWe are a global biopharmaceutical leader with a portfolio of prescription medicines oncology vaccines and animal health products. We are driven by our purpose to develop and deliver innovative products that save...

The Case Manager 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.Under the general supervision of the Director...

Job Title: Registered Nurse (RN) Utilization ReviewLocation: Apple Valley CADuration: 13-Week ContractSchedule: Day Shift 5x8-Hour ShiftsHours: 8:00 AM 4:30 PMGuaranteed Hours: 40 Hours WeeklyPosition OverviewWe are seeking an experienced Utilization Review Registered Nurse (RN) to support care m...

Location:Calmont Operations BuildingDepartment:Clinical Support & PreventionShift:First Shift (United States of America)Standard Weekly Hours:40Summary:Provides support for all Service Coordination Department functions which include utilization management service coordination and population health m...

Job Title: Registered Nurse Case ManagerLocation: Syracuse NYDuration: 13 Weeks (Extendable)Shift: Day Shift 5x8 Hours (7:00 AM 3:00 PM)CompensationLocal Candidates: $57 $59 per hourTravel Candidates: $65 $67 per hourPosition OverviewThe Registered Nurse (RN) Case Manager is responsible for co...

Join Us in Shaping the Future of Health CareWhats in it for you:Growth opportunities to uplevel your careerA people-centric culture embracing and celebrating diverse perspectives backgrounds and experiences within our teamCompetitive compensation and comprehensive benefits focused on well-beingAn op...

Join Us in Shaping the Future of Health CareWhats in it for you:Growth opportunities to uplevel your careerA people-centric culture embracing and celebrating diverse perspectives backgrounds and experiences within our teamCompetitive compensation and comprehensive benefits focused on well-beingAn op...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

At WelbeHealth we unlock the full potential of seniors by providing the support and resources they need to be happy healthy and as independent as possible so they can remain in their own homes. Our biggest contributions to their independence are the clinical and non-clinical services we provide at o...

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experi...

Job DescriptionThe Registered Dietitian at Bishop Spencer Place is seeking a part time nutrition professional that develops and oversees the implementation of nutrition interventions/prescriptions for patients nutrition diagnosis. Responsible for coordinating the plan of care/interventions and consu...

OverviewYou Matter Here!Heywood Healthcare values our employees! We offer competitive wages great benefits and generous earned time off. Come work where you will matter!Hours: 32-Hours Days No Weekends or Holidays$38.00-$57.48DisclaimerWe are committed to equitable and transparent compensation pract...

Job Title: Facets Product Consultant Location: Remote CST Experience Required: 8 Years Contract Type: Sub-contractor not Allowed / only w2 Must Haves: 1. Facets Enrollment . Membership Billing Provider 2. SQL MS-SQL Server AWS Dev Ops 3. GIT Lab Git Hub Associate will be responsible...

Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner whether you work with...

AWS Infrastructure Services owns the design planning delivery and operation of all AWS global other words were the people who keep the cloud running. We support all AWS data centers and all of the servers storage networking power and cooling equipment that ensure our customers have continual access...

Our CompanyAbilis Health PlanOverviewThe Chief Medical Officer (CMO) provides executive clinical leadership for Abilis Healths Institutional Special Needs Plan (I-SNP) and Institutional-Equivalent Special Needs Plan (IE-SNP) Medicare Advantage products. The CMO is responsible for the strategic direc...

The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy reimbursement integrity and compl...