Utilization Management Jobs in Douglas Qld

Find your calling at Mercy!The Nurse Navigator is a leader providing support mentorship and guidance to those who provide direct patient care. The Nurse Navigator coordinates the delivery of patient care by assessing care requirements of the individual patient and makes recommendations based on seve...

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...

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...

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...

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...

Department:39733 Enterprise Corporate - Care TransitionsStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:The role manages a Transitional Care Management RN team that provides remote patient support 365 days per year between the hours of 0800-2030 in the...

SummaryThe Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply including Black Indigenous and People of Color immigrants refugees women LGBTQ people with disabilities veterans and those with lived e...

About Us:As a non-profit organization Valley Cities Behavioral Health Care is dedicated to serving our community by offering a wide range of mental health services from inpatient to outpatient care. We believe that our employees are our greatest asset and we are committed to creating a supportive an...

Join CommunityCommunity Health Network was created by our neighbors for our neighbors. Over 60 years later community is still the heart of our organization. It means providing our neighbors with the best care possible backed by state-of-the-art technology. It means getting involved in the communitie...

ESSENTIAL DUTIES AND RESPONSIBILITIES Included but not limited to the following:ï Execute QA-related tasks and processes in the Business QA department.ï Provide Specific attention to clinical changes for government programs.ï Review and validate that rules and utilization management along with clini...

Summary:The Director of Strategic Sourcing leads enterprise-wide sourcing strategy across clinical and non-clinical categories driving cost optimization supplier performance and value-based outcomes. This role partners with physicians supply chain finance and operational leaders to align sourcing in...

OverviewLead the Way as Director of Care Coordination/RNAC at Diversicare!At Diversicare were looking for a passionate Director of Care Coordination to join our exceptional team. If youre dedicated to making a difference in the lives of our patients and residents we invite you to apply.Why Lead at D...

Case Manager RN Acute Care HospitalLocationTallahassee FloridaScheduleFull-TimeDay Shift: 8:00 AM 4:30 PM1 Weekend Every 4 WeeksCompensation$31.94/hr $43.92/hr (based on experience)Additional CompensationEvening Differential: $2.50/hrWeekend Differential: $2.00/hrShift differentials may stack whe...

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...

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...

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...

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...

Job DetailsRN Case Manager Weekend Incentive Program (WIP) - Day ShiftSaturday & Sunday (Hours: 8a-8:30p plus one rotating Friday shift (4p-8p).Wilmington DEExternal Candidates are Eligible for a 10K Sign-on Bonus! ChristianaCare - Wilmington Hospital is currently recruiting an RN Case Manager - We...

Job DescriptionUW Medical Center-Northwest Freestanding Infusion Center has an outstanding opportunity for a Registered Nurse (RN) Coordinator.WORK SCHEDULEFull time / 40 hours per week8 hour day shifts Monday-FridayOur clinic is closed on nights weekends and holidaysDEPARTMENT DESCRIPTIONThe ambul...

Revenue Cycle ManagerHelp Shape the Future of Community Behavioral HealthAt Valley Cities were transforming behavioral health care across our communities. As we lead efforts to become a Certified Community Behavioral Health Clinic (CCBHC) were expanding access to integrated mental health and substan...