Utilization Management Jobs in Douglas Qld

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Quality Management Nursing Consultant

Arizona Department Of Administration

profile Phoenix - USA

AHCCCSArizona Health Care Cost Containment SystemAccountability Community Innovation Leadership Passion Quality Respect Courage TeamworkThe Arizona Health Care Cost Containment System (AHCCCS) Arizonas Medicaid agency is driven by its mission to deliver comprehensive cost-effective health care to Ar...

30+ days ago
Full Time

Business Systems Analyst

Leidos

profile Fort Worth - USA

Business Systems AnalystFort Worth TXThe Leidos Defense Sector currently has an opening for a Business Systems Analyst to work on-site supporting NSWC PCD PPE NSWC Extreme Environments Personal Protective Equipment. This is an excellent opportunity to utilize your experience and expertise to support...

30+ days ago
Full Time

Epic Tapestry Utilization Management Analyst

Expert Technology Services

profile Eden Prairie - USA

Job Summary (List Format): Epic Tapestry Utilization Management Analyst - Design build and optimize Epic Tapestry Utilization Management (UM) workflows focused on authorizations and referrals. - Configure and support prior authorization and referral processes for medical behavioral health and pharm...

30+ days ago
Full Time

Cognizant Digital Operations Healthcare Senior Pro...

Reqroute,inc

profile Phoenix - USA

title CWR summary Senior Process Executive - HC Graduate (exclusion: BE/ For Medical Management- Bachelor s degree in Nursing or any health science related field For NA- High School Processes:- Individuals in this role are responsible for meeting process deliverables in terms of targets incl...

30+ days ago
Full Time

Associate Director Operations Manager

Turner & Townsend

profile New York City - USA

The Associate Director Operations Manager responsible for overseeing operational performance across our team. The role focuses on ensuring consistent highquality project delivery effective resource utilization strong governance and alignment with business strategy across all commissions. The positi...

30+ days ago
Full Time

Director Case Management [full Time Permanent]

Central Business Solutions

profile Memphis - USA

The individual in this position has overall responsibility for hospital utilization management transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources timely and accurate revenue cycle processes denial prevent...

30+ days ago
Full Time

Director Case Management Memphis Tn (relo Avail) T...

Intermedia Group

profile Memphis - USA

OPEN JOB: Director Case ManagementLOCATION:Memphis Tennessee***Relocation Assistance AvailableBASE SALARY: $110000 to $165000FIRM: Leading Memphis HospitalThe individual in this position has overall responsibility for hospital utilization management transition management and operational management o...

30+ days ago
Full Time

Utilization Mgmt Spec

Corewell Health

profile Southfield - USA

Job SummaryUnder general direction assists in the provision of the highest service level possible to patients/customers to ensure their satisfaction. Participates in activities with third party payors in order to maximize reimbursement.Essential FunctionsUnderstands and accesses insurance websites....

30+ days ago
Full Time

Director Case Management [full Time Permanent]

Central Business Solutions

profile Detroit - USA

Are you a results-driven leader ready to make a meaningful impact to patients caregivers and your community Were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.Summary DescriptionOversees h...

30+ days ago
Full Time

Health Outcomes Specialist Iii

Excellus Bcbs

profile Rochester - USA

Job Description: Summary:The Health Outcomes Specialist I-II supports the Health Outcomes & Community Impact (HOCI) strategic plan goals enterprise-wide measures and efforts to achieve improvement across our markets and populations. The role supports the design implementation and evaluation of initi...

30+ days ago
Full Time

Health Outcomes Specialist Iii

Univera Healthcare

profile Rochester - USA

Job Description: Summary:The Health Outcomes Specialist I-II supports the Health Outcomes & Community Impact (HOCI) strategic plan goals enterprise-wide measures and efforts to achieve improvement across our markets and populations. The role supports the design implementation and evaluation of initi...

30+ days ago
Full Time

Accessutilization Review Coordinator

Fisher-titus Health

profile Norwalk - USA

Caring For the Community You LoveChoose a career to make a difference in peoples lives every day choose Fisher-Titus!Perks of working at Fisher-Titus:Hours of Work- Full timeComprehensive Benefits Package- Medical & Dental coverage 401K match paid time off tuition assistance and more!Shift Weekend &...

30+ days ago
Full Time

Home Care Manager

Jevs Care At Home

profile Pittsburgh - USA

SummaryThe Client Care Manager is responsible for developing and maintaining relationships with clients and caregivers. This includes staffing scheduling and supervision of field staff to meet the clients needs. Strong communication problem-solving skills and making the proper client-caregiver match...

30+ days ago
Full Time

Nurse Practitioner Cardiology

Prisma Health

profile Columbia - USA

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

30+ days ago
Full Time

Manager, Surgical And Procedural Services

Healthpartners

profile Hudson - USA

DescriptionThe Surgical Services Manager is responsible for overseeing the daily operations of the surgical department which includes; Same Day Surgery GI Lab CS OR and PACU. This manager supervises the staff (RN OR Tech CST HUC CNA Endo Tech). The manager ensures the highest level of patient care p...

30+ days ago
Full Time

Associate Clinical Director

Aces

profile The Woodlands - USA

DescriptionPosition Title:Associate Clinical DirectorLocation:the Woodlands TexasPosition Type: Full-TimePay Range: $105000-$110000 annuallyJob Mission:The mission of the Associate Clinical Director at ACES is to elevate the standards in the treatment of Autism by managing the effective and efficien...

30+ days ago
Full Time

Rn Supervisor, Care Management

Community Health Systems

profile Tucson - USA

DescriptionFull Time RN Supervisor in Care Management at Northwest Medical Center in Tucson AZ.What we offer:Our nurses enjoy a robust benefits package including health insurance flexible scheduling 100% licensure/certification renewal reimbursement Tuition Reimbursement and up to $20K for student l...

30+ days ago
Full Time

Registered Dietitian Part Time Cardiac Rehab

Saint Luke's Physician Group

profile Kansas City - USA

Job DescriptionThe Registered Dietitian is the nutrition professional that develops and oversees the implementation of nutrition interventions/prescriptions for patients nutrition diagnosis. Responsible for coordinating the plan of care/interventions and consulting with other members of the health c...

30+ days ago
Part-Time

Service Authorization Contract Analyst

Dhrm

profile Richmond - USA

Title: Service Authorization Contract AnalystState Role Title:Prog Admin Specialist IIHiring Range: $74263 - $88580Pay Band: 5Agency: Dept of Med Assistance SvcsLocation:Dept of Medical Asst ServicesAgency Website:Recruitment Type: General Public - GJob DutiesThe Department of Medical Assistance Ser...

30+ days ago
Full Time

Materials Management Coordinator- Cath Lab

Ochsner Clinic Foundation

profile New Orleans - USA

Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner whether you work with...

30+ days ago
Full Time