Utilization Management Jobs in Douglas Qld
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Clinical Program Director Behavioral Health
The Ocd & Anxiety Treatment Center
Your Role:Licensed Therapist Required: You must be a licensed therapist to qualify for this positionEvening Hours: The position requires evenings.In-Person Monday to Friday from 11:00 am - 8:00 pmThe Company Youll JoinOCD Anxiety Centers has a true passion for bringing help and hope to some of the m...
Production Manager
Roehm
WHO WE AREWe are a leading supplier of methacrylate chemistry. As a global company with around 2800 employees we are represented on three continents. We serve a global market with our MERACRYL methacrylates and PMMA molding compounds under the PLEXIGLAS brand (in the Americas registered under the tr...
Director Care Mgmt
Fmolhs
DescriptionThe Director of Care Management oversees the Care Management program and coordinates and integrates patient care outcomes resource utilization and treatment patterns discharge planning social services psychosocial assessment and therapeutic interventions. The Director assists in developin...
Social Worker (lcsw) Outpatient Oncology, Full-tim...
Northwestern Memorial Healthcare
The Social Worker LCSW 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.A licensed masters-prepared social worke...
Manager Care Management Social Work Everett, Washi...
Central Business Solutions
Bounty DescriptionIndustry:Healthcare / Health Services - Social Services / Mental HealthJob Category:Medical / Health - Other Medical / HealthThe Manager Care Management is responsible for the daily management and organization of all activities and staff within the Care Management Department includ...
Licensed Clinical Social Worker (behavioral Health...
Centralcare
LOS ANGELES AIR FORCE BASE CALIFORNIALICENSED CLINICAL SOCIAL WORKER - BEHAVIORAL HEALTH CONSULTANT (IBHC)LCSW Core Duties:Participate in Utilization Management/Case Management meetings to review and identify opportunities to improve treatment provided and recommend corrective action when problems e...
Nurse Case Manager
Redion
Embark on a Journey That Makes a Difference.At Generali Global Assistance (GGA) every day is an opportunity to help people explore the world with confidence. Were not just in the business of protectionwere in the business of adventure and peace of mind. Whether its a backpacker trekking through the...
Operation Manager
Dsv
FRAUD ALERT: Please note that DSV will never request a chat interview or solicit funds from applicants or employees through its interviewing and hiring process. We do not require any form of payment and will not ask for personal financial information such as credit card or bank account number. Our r...
Enterprise Architect (salesforce , Health Cloud)
Siri Infosolutions Inc
if you are interested in below role Please share your updated resume to Role Enterprise Architect Location: Indianapolis IN Onsite Contract Role Descriptions: 5 Year of Experience in Health cloud Health Cloud Health Cloud Data Models o Patients Care Program Care Program Enrollee Care P...
Pharmacy Pharmacist Inpatient
Carenest Health Services
**REDUCED Non-Billable Orientation (NBO) Job - 0 Hours NBO vs. Standard 40 NBO** OR WA or CA Pharmacist License Required 3 Years in a Managed Care Environment Required (meaning dealing with Prior Authorizations Audits Appeals ALJ Court hearings etc) **Rare weekends required a few times per year** RE...
Pharmacy Pharmacy Tech Outpatient
Carenest Health Services
**REDUCED Non-Billable Orientation (NBO) Job - 0 Hours NBO vs. Standard 40 NBO** Pharmacy Tech Role **OR PHARM TECH LIC REQUIRED** **MUST have advanced Excel skills. Do not submit without ADVANCED EXCEL. On call 2-3 weekends per year. This position is responsible for performance of technically detai...
Care Manager Rn
Northside Hospital
OverviewNorthside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a...
Care Manager Rn
Northside Hospital
OverviewNorthside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a...
Reimbursement Business Manager-(gastro) Tallahasse...
Regeneron Pharmaceuticals
Field Reimbursement Manager Immunology Pulmonology and Gastroenterology (Tallahassee FL - Montgomery AL - Mobile AL) The Field Access & Reimbursement environment for specialty biologics has proven to be highly challenging for HCPs and Patients. Payer Formularies and restrictive Utilization Manageme...
Director Of Case Management
Together We Talent
Director of Case ManagementDetroit MI Full-Time $103000 $155000 Healthcare / Hospital AdministrationWe are seeking an experienced Director of Case Management to lead hospital-based case management operations focused on utilization management patient throughput care coordination reimbursement opti...
Director, Utilization Management
Emory
OverviewBe inspired. Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorshipand leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your caree...
Nurse Manager Utilization Management
Mayo Clinic
DescriptionThe RN Manager Care Management provides leadership direction and resource management for case managers and social workers in the inpatient and ambulatory settings. The RN Manager effectively resolves utilization review and denial management issues provides leadership in resolving psychoso...
Pharmacy Benefits Program Director Mount Sinai Hea...
Mount Sinai Health System
DescriptionAs part the Mount Sinai Pharmacy team and on behalf of Mount Sinai Human Resources partners the Pharmacy Benefits Program Director is responsible to provide service support reporting pricing and/or other performance guarantees while working with multiple internal stakeholders and other ex...
Pharmacy Benefits Program Director Mount Sinai Hea...
Mount Sinai Health System
DescriptionAs part the Mount Sinai Pharmacy team and on behalf of Mount Sinai Human Resources partners the Pharmacy Benefits Program Director is responsible to provide service support reporting pricing and/or other performance guarantees while working with multiple internal stakeholders and other ex...
Director State Policy & Government Affairs
Regeneron Pharmaceuticals
The State Policy & Government Affairs Director will serve as a key member of Regeneron Pharmaceuticals Public Policy & Government Affairs (PP&GA) team responsible for the development and execution of state-level policy strategies that advance the companys mission to ensure patient access to innovati...