Utilization Management Jobs in Douglas Qld

Anticipated End Date:Position Title:Medical Director Associate CarelonRxJob Description:Medical Director Associate CarelonRx 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...

Anticipated End Date:Position Title:LTSS Service Coordinator - Case Manager (Region G: Palm Beach County)Job Description:LTSS Service Coordinator (Bilingual in Spanish/English)Schedule: Monday-Friday 8am-5pm ESTLocation: This is primarily a field based position. Candidate would need to reside in one...

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...

Anticipated End Date:Position Title:RN - Clinical Oncology ReviewsJob Description:RN - Oncology Clinical Reviews (JR192475)Hybrid 1: This role requires associates to be in-office 1 - 2 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work...

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:Appeals Medical Director- CardiologyJob Description:Appeals Medical Director Cardiology Location: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This...

Anticipated End Date:Position Title:Contract Director RxJob Description:Contract Director Rx Hybrid 2: This role requires associates to be in-office 3 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life balance. This approach combi...

Lifeline Connections is a community-based behavioral health organization that specializes in providing confidential and compassionate care to individuals who experience substance use and/or mental health conditions.Our Vision - As the premier provider of substance use and mental health services in t...

Department:11200 Navicent Health Medical Center - Case ManagementStatus: Part timeBenefits Eligible:NoHours Per Week:0Schedule Details/Additional Information:Monday - Friday 8-5 in person with rotating weekends/ holidaysPay Range$28.55 - $42.85Major Responsibilities:Participates in rounds on the pat...

Care with Heart. Work with Purpose.Volunteers of America National Services (VOANS) is seeking aMedical Director. The Medical Director Provide direction to Senior CommUnity Care related to the medical delivery of care by providers and ensures the delivery of quality health care services. Supports and...

Anticipated End Date:Position Title:Telephonic Nurse Case Manager lJob Description:Telephonic Nurse Case Manager I Location: 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 p...

Anticipated End Date:Position Title:RN Nurse Case Manager ll (California HMO)Job Description:RN Nurse Case Manager ll (California HMO) (JR191246)Location - Virtual:This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum fl...

Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striv...

Job DetailsThe Care Progression Manager collaborates across interdisciplinary teams to advance health system strategies including initiatives focused on value-based care and payer population management. Partners with clinical operational and financial stakeholders to align care progression workflows...

Job DetailsThe Care Progression Manager collaborates across interdisciplinary teams to advance health system strategies including initiatives focused on value-based care and payer population management. Partners with clinical operational and financial stakeholders to align care progression workflows...

Job Description: The Medical Director participates in the broad array of activities of the Medical Services area including but not limited to Medical and Pharmacy Utilization Management quality management member care management and medical policy processes and support for our various lines of busine...

Job Description: The Medical Director participates in the broad array of activities of the Medical Services area including but not limited to Medical and Pharmacy Utilization Management quality management member care management and medical policy processes and support for our various lines of busine...

DescriptionOnly a retirement this summer makes this outstanding position available!Centurion Health is proud to be the provider of comprehensive healthcare services to the Minnesota Department of Corrections.We are currently seeking a full-time primary care physician to join our team as a Statewide...

DescriptionThe Financial Counselor screens uninsured patients for Medicaid and financial assistance and evaluates the patients ability to pay for services. The Financial Counselor performs administrative and support activities relative to payment for services rendered to insured patients including c...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case ManagerFull Time: Monday-Friday 8-5pmRequires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).AndPrevious...