Utilization Management Jobs in Douglas Qld

Job Title: Technical Product Manager Location: Minneapolis MN. Hybrid 3 days onsite per week Duration: 6 months Job Description: Required Experience (Healthcare Focus) 10 years of experience in technology product management or platform product roles Proven track record of deliver...

Job title: Technical Product Manager Location:- Minneapolis MN Hybrid 3 days onsite per week Duration: 6 months JD: Required Experience (Healthcare Focus) 10 years of experience in technology product management or platform product roles Proven track record of delivering healthcare technolog...

Director of Pharmacy Location: Detroit Michigan United States Employment Type: Full-Time Experience Level: Director...

Executive Director Lynchburg VAAbout Mainspring RecoveryMainspring Recovery is a behavioral health organization dedicated to delivering compassionate evidence-based substance use disorder treatment across multiple levels of care. With facilities in Lynchburg and Dumfries Virginia Mainspring support...

The Utilization Review Coordinator 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.Responsibilities:The Utiliza...

Are you someone who enjoys solving complex problems and digging into the details until you find the right answer Do you take pride in turning that research into clear polished written communication that others can easily understand If you thrive in an environment where every case is a puzzle and eve...

Are you a current UMass Memorial Health caregiver Apply now through Workday.Exemption Status:Non-ExemptHiring Range:$30.91 - $46.03Please note that the final offer may vary within this range based on a candidates experience skills qualifications and internal equity considerations.Schedule Details:M...

Site: The Brigham and Womens Hospital Inc.Mass 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 st...

About The Oncology Institute ():Founded in 2007 The Oncology Institute (NASDAQ: TOI) is advancing oncology by delivering highly specialized value-based cancer care in the community setting. TOI offers cutting-edge evidence-based cancer care to a population of approximately 1.9 million patients inclu...

Pharmacy Technician OutpatientLocation: Portland OregonDuration: 26 WeeksSchedule Standard Business Hours On-Call Coverage: Approximately 23 weekends per yearPay Rate: $33 - $37 per hour (Depending on Experience)Position OverviewNavitas Healthcare LLC is seeking an experienced Pharmacy Technician t...

Pediatric Case Manager RNLocation: Anchorage AK Duration: 13 Weeks Schedule: 5x8 DaysJob SummaryNavitas Healthcare LLC is seeking an experienced Pediatric Case Manager RN to join a leading acute care hospital in Anchorage Alaska. The ideal candidate will have pediatric nursing experience acute care...

Evening Shift ONLY: Monday - Friday 4pm - 12amThe Clinical Care Manager is responsible for utilization management by conducting utilization review activities population management cross-system consultation provider management and treatment quality monitoring.The Clinical Care Manager must utilize cl...

OverviewSelect Medical Rehabilitation HospitalMiami Lakes Florida**NEW HOSPITAL OPENING: AUGUST 2026**Case Manager (RN SW RT)Full Time Days (M-F 8a-5p)No Weekends Or Major HolidaysPay Is Determined By Previous Years Of Relevant ExperienceWhy Join UsStart Strong: Extensive and thorough orientation pr...

The Clinical Care Manager (CCM) Specialist- Childrens Complex Care (High-Fidelity Wraparound) is part of a specialized team responsible for providing high intensity care management that works collaboratively and directly with members and providers to ensure effective holistic member-centric care.The...

Employment Type:Full timeShift:Day ShiftDescription:Utilizes advanced coding and/or clinical expertise to direct efforts toward the improvement of clinical documentation through the roles of educator and consultant. Facilitates improvement in the overall quality completeness and accuracy of medical...

Employment Type:Full timeShift:Description:Social Worker for Mount Carmel Grove City Position Purpose:The Social Worker intervenes with patients who have complex psychosocial needs require assistance with eligibility determination for social programs and funding sources and qualify for community ass...

Our CompanyRehab in MotionOverviewThe Outpatient Site Manager (Rehab in Motion) is directly responsible for managing the business and clinical operations of assigned treatment facility. The Site Manager assures care and services provided by the team are in compliance with state and federal regulator...

ATTENTION MILITARY AFFILIATED JOB SEEKERS- Our organization works with partner companies to source qualified talent for their open roles. The following position is available toVeterans Transitioning Military National Guard and Reserve Members Military Spouses Wounded Warriors and their Caregivers. I...

The Sr Project Manager Clinical Transformation (Sr PM) uses their deep knowledge of clinical operations business processes regulations and technology to lead large-scale complex initiatives focused on the implementation of Utilization Management (UM) Care Management (CM) and related clinical operati...

SummaryThe Compliance Program Manager is responsible for the development implementation and ongoing monitoring of the Corporate Compliance Program with a particular emphasis on federal payor billing compliance and compliance-related education for the Johns Hopkins Health System Corporation and its a...