Utilization Management Jobs in Douglas Qld

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides assistant surgical services in the operating room as well as other selected medical services under the direction of the surgeon.AccountabilitiesProvides general surgical assistant services in operating room.10%Assists surg...

Help the companies transforming healthcare coverage move fasterpowering everything from claims modernization to member experience with cloud and AI. Run a territory like a business with real ownership executive access and the chance to shape how health insurers and payors adopt next-gen tech.This ro...

DescriptionAt EXP were driven to provide innovative solutions for the worlds built and natural environments. As a team of engineers architects designers scientists creators and a community of professionals we bring diverse and talented people together to solve the worlds most complex challenges. Her...

About Blue Cross and Blue Shield of MinnesotaAt Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate...

About Blue Cross and Blue Shield of MinnesotaAt Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate...

We are the leading provider of professional services to the middle market globally our purpose is to instill confidence in a world of change empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled culture and talent experience and our ab...

Position Summary:The Medical Director provides physician leadership for the clinical operations quality patient safety and strategic direction of First Flight Health Centers. As a member of the senior leadership team the Medical Director oversees clinical policies quality improvement initiatives pro...

Anticipated End Date:Position Title:Project DirectorJob Description:Project DirectorLocation: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 combines struct...

Billing & Credentialing Specialist at Canopy Roots Canopy Mental Health & Consulting As our Billing & Credentialing Specialist you will lead end-to-end billing operations and own provider credentialing across behavioral health programs with a strong emphasis on Minnesota Medicaid (MHCP) Medicare an...

Summary The Asthma Allergy and Immunology Clinical Pharmacist position offers the opportunity to provide specialized pharmacy care for patients with a wide range of chronic conditions including asthma COPD atopic dermatitis rhinosinusitis nasal polyps urticaria and hereditary angioedema.By working...

Summary The Infectious Disease Pulmonary Hypertension & Neurology Ambulatory Clinical Pharmacist position offers a unique opportunity to provide advanced pharmacy services across multiple highly specialized clinics at National Jewish Health. This role supports patients with complex infectious neuro...

Summary The Infectious Disease Pulmonary Hypertension & Neurology Ambulatory Clinical Pharmacist position offers a unique opportunity to provide advanced pharmacy services across multiple highly specialized clinics at National Jewish Health. This role supports patients with complex infectious neuro...

Summary The Asthma Allergy and Immunology Clinical Pharmacist position offers the opportunity to provide specialized pharmacy care for patients with a wide range of chronic conditions including asthma COPD atopic dermatitis rhinosinusitis nasal polyps urticaria and hereditary angioedema.By working...

Summary The Asthma Allergy and Immunology Clinical Pharmacist position offers the opportunity to provide specialized pharmacy care for patients with a wide range of chronic conditions including asthma COPD atopic dermatitis rhinosinusitis nasal polyps urticaria and hereditary angioedema.By working...

Anticipated End Date:Position Title:Nurse Case Manager IIJob Description:Nurse Case Manager IILocation:Virtual: This role enables associate to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes produc...

Anticipated End Date:Position Title:Nurse Case Manager IIJob Description:Nurse Case Manager IILocation:Virtual: This role enables associate to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes produc...

Position Summary:The Nurse Case Manager 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. Assists in coordinatin...

Utilization Management Registered Nurse (UM RN)Job SummaryWe are seeking an experienced and detail-oriented Utilization Management Registered Nurse (UM RN) to join our hospital team. The UM RN is responsible for reviewing patient cases to ensure appropriate utilization of healthcare services medical...

Job DetailsDo you want to work at one of the Top 100 Hospitals in the nation We are guided by our values ofLoveandExcellenceand are passionate about delivering health not just health care. Come join us at ChristianaCare!Our Utilization Management departmentlocated in Wilmington DE is looking for a f...

Provides utilization management functions as a part of the Program for All Inclusive Care for the Elderly benefits management system. This includes providing utilization review and management for all acute post-acute and outpatient services as well as performing the identification analysis and resol...