Utilization Management Jobs in Douglas Qld

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...

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...

Hours:Shift Start Time:7:30 AMShift End Time:4 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:As NeededOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$68.450 - $88.330 - $98.920The stated pay scale reflects the range that Sharp reason...

Anticipated End Date:Position Title:Nurse Reviewer IJob Description:Nurse Reviewer 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-life inte...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Anticipated End Date:Position Title:Product Development Director - CarelonRxJob Description:Product Development Director - CarelonRxLocation: This role requires associates to be in-office 3 days per week fostering collaboration and connectivity while providing flexibility to support productivity and...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Director of Case ManagementFull Time: Monday - Friday 8-5pmClinical license as a registered nurse or respiratory therapist or masters in social work and minimum three (3) years of medical case management or similar experience...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Director of Case ManagementFull Time: Monday - Friday 8-5pmClinical license as a registered nurse or respiratory therapist or masters in social work and minimum three (3) years of medical case management or similar experience...

Join us as the Senior Manager of Revenue Cycle!Full time 40 Hours onsite in Auburn MA The Senior Manager of Revenue Cycle provides strategic leadership and oversight for all revenue cycle operations at the Vista Hospital System. This position is responsible for optimizing the end-to-end revenue cycl...

SJCRHThe Department of Pathology at St. Jude Childrens Research Hospital seeks a faculty member with expertise in computational pathology at the rank of Assistant Associate or Full Member commensurate with experience. The Department has made substantial investment in computational pathology infrastr...

SJCRHThe Department of Pathology at St. Jude Childrens Research Hospital seeks a faculty member with expertise in computational pathology at the rank of Assistant Associate or Full Member commensurate with experience. The Department has made substantial investment in computational pathology infrastr...

DescriptionMedical Supplies Nurse Program Manager (ONC/CQCT)The Medical Supplies Nurse Program Manager (Occupational Nurse Consultant) uses their clinical expertise to shape health care policy for Washingtons Medicaid population. This position manages clinical programs related to medical equipment s...

The Physician provides Direct and Indirect Patient Care and other related work as required by department/unit leader. Under indirect supervision provides and manages direct and indirect Patient Care and other related work as required by the Chief Medical Director or Medical Director at the USC Culin...

Anticipated End Date:Position Title:Director of CHOICES GBD Special Programs ServicesJob Description:Director of CHOICES GBD Special Programs ServicesLocation: Nashville TNHybrid 2: This role requires associates to be in-office 3 days per week fostering collaboration and connectivity while providin...

Hours:Shift Start Time:9 AMShift End Time:5:30 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:As NeededOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$39.690 - $51.220 - $57.370The stated pay scale reflects the range that Sharp reason...

Anticipated End Date:Position Title:Psychologist ReviewerJob Description:Work location - VirtualThis role enables associates to work virtually full-time except for required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports work-life...

Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier com...

Anticipated End Date:Position Title:Associate Medical Director - Outpatient RehabJob Description:Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementOutpatient Rehab Utilization Management Review Preferred Shift: 8am-5pm Pacific TimeVirtual: This role enables associates...

Anticipated End Date:Position Title:Clinical Medical Review Oncology (Underwriting) (JR192475)Job Description:Clinical Medical Review Oncology (Underwriting) (JR192475)Hybrid 1: This role requires associates to be in-office 1 - 2 days per week fostering collaboration and connectivity while providi...

Anticipated End Date:Position Title:Solutions Management ManagerJob Description:JR193081 Solutions Management ManagerLeads planning and implementation of Cardiovascular and Radiology Benefits Management solutions. Serves as the single point of contact and subject matter expert on all aspects of plan...