Utilization Management Jobs in Douglas Qld

Associate Chief Medical OfficerHoward University Hospital Washington DCRole SummaryAs Associate Chief Medical Officer at Howard University Hospital you will provide physician leadership that advances clinical operations utilization management and financial performance while supporting the academic...

Job Title:RN Manager Clinical Resource Management (Travel) Location:Hyannis MA Type:ContractPosition Overview: Navitas Healthcare LLC is seeking RN Manager Clinical Resource Management for an exciting Travel job in Hyannis MA.ResponsibilitiesProvide leadership and management of Case Management and S...

Job Title: RN Manager Clinical Resource Management(Travel) Location: Hyannis MA Type: ContractPosition Overview: Navitas Healthcare LLC is seeking RN Manager Clinical Resource Management for an exciting Travel or Local job in Hyannis MA.ResponsibilitiesProvide leadership and management of Case Manag...

Job Title: RN Manager Clinical Resource Management (Travel) Location: Hyannis MA Type: ContractPosition Overview: Navitas Healthcare LLC is seeking RN Manager Clinical Resource Management for an exciting Travel job in Hyannis MA.ResponsibilitiesProvide leadership and management of Case Management an...

Sanford Health the largest rural health system in the United States is dedicated to transforming the health care experience and providing access to world-class health care in Americas heartland. Work Shift:8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours:40&#x...

Build our future together: The Field Access & Reimbursement environment for specialty biologics has proven to be highly challenging for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including: Prior Authorization Processes Step Edits Appeals detailed Clinical D...

Were hiring an Associate Director Authorization Services Operations to join our Insurance Operations team.About the role:You will drive the program governance and KPI/operational metrics setting and reporting for the Authorization Services Team. Additionally you will support the strategy and impleme...

Were hiring an Associate Director Authorization Services Operations to join our Insurance Operations team.About the role:You will drive the program governance and KPI/operational metrics setting and reporting for the Authorization Services Team. Additionally you will support the strategy and impleme...

Were hiring an Associate Director Authorization Services Operations to join our Insurance Operations team.About the role:You will drive the program governance and KPI/operational metrics setting and reporting for the Authorization Services Team. Additionally you will support the strategy and impleme...

Description Astrana is looking for a RN/LVN Case Manager and we are willing to train a RN or LVN with no case management experience! You will have the ability to work with pediatrics and/or adult populations depending on business need. Our Values: Put Patients First Empower Entrepreneurial Provider...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case Manager (PRN)Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state guidelines).AndPrevious discharge planning experience hig...

Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...

Job Family:Strategy & Transformation ConsultingTravel Required:Up to 25%Clearance Required:Ability to Obtain Public TrustWhat You Will Do:We are building out our team with Senior Consultants who have a strong understanding of how healthcare payer organizations operate especially in the commercial ma...

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: 40-Hours Days Monday - Friday Every other weekendPay Range: $25.05 - $33.05DisclaimerWe are committed to equitable and trans...

Anticipated End Date:Position Title:Appeals Medical Director- DermatologyJob Description:Appeals Medical Director Dermatology Location: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. Thi...

Vice President Business OptimizationOregon Washington Idaho Utah or North DakotaBuild a career with purpose.Join our Cause to create a person-focused and economically sustainable health care system.Who We Are Looking For:Every day Cambias dedicated team is living our mission to make health care easi...

Anticipated End Date:Position Title:Medical Management Specialist IJob Description:Medical Management Specialist ILocation: 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 pr...

Anticipated End Date:Position Title:Nurse Care Manager IJob Description:Nurse Care Manager IVirtual: This role enables associates to workvirtually full-time except for required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports work-l...

Fortreas Full Service Team is hiring a Assoc Mgr/Manager Site Readiness! This role is remote based in the US.Job Overview:The Manager Start-up Operations is accountable for delivering on-time high quality study start-up and maintenance activities within a country or country cluster as well as for ce...

Who We ArePoint32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality affordable healthcare. Serving nearly 2 million members Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and em...