Utilization Management Jobs in Douglas Qld

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...

Nurse Administrator and EducatorThe Center for Wound Healing & Hyperbaric Medicine LLC (CFWH) provides management and consulting services to healthcare providers in the area of wound care and hyperbaric medicine. By focusing on the needs of the patients as well as the partners we serve The Center fo...

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 pm.The Company Youll JoinOCD Anxiety Centers has a true passion for bringing help and hope to some of the...

Job Description: We are seeking an experienced Epic Tapestry Utilization Management Analyst to design build optimize and support UM processes focused on authorizations and referrals. The ideal candidate is Epic Tapestry UM Certified has practical experience with Tapestry Care Link and is adept at tr...

Full Time 10am-10pm The Lead ED Quality Utilization Specialist 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....

Job Description: Summary:This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls creating...

Job Description: Summary:This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls creating...

At GSK we have bold ambitions for patients aiming to positively impact the health of 2.5 billion people by the end of the decade. Our R&D focuses on discovering and delivering vaccines and medicines combining our understanding of the immune system with cutting-edge technology to transform peoples li...

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...

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...

Department:BH - Non-ServiceScheduled Weekly Hours: 40Schedule:Monday-Friday (10am-6pm)**Anticipated Start Date 7/27/2026**Starting Pay:$65000.00Education Were Looking for:Masters: Human Services (Required)Certifications Were Looking For:Drivers License (Valid) - USA Licensed Clinical Mental Health C...

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...

Lifekind Health is looking for an experienced Licensed Clinical Social Worker (LCSW) or Licensed Marriage & Family Therapist (LMFT) to join our team full-time. Deliver evidence-based psychological and behavioral health services to patients receiving care in a transdisciplinary pain management settin...

Lifekind Health is looking for an experienced Licensed Clinical Social Worker (LCSW) or Licensed Marriage & Family Therapist (LMFT) to join our team full-time. Deliver evidence-based psychological and behavioral health services to patients receiving care in a transdisciplinary pain management settin...

Anticipated End Date:Position Title:Behavioral Health Clinical AuditorJob Description:Behavioral Health Clinical Auditor Location: It is highly preferred that the selected candidate reside within commutable distance to a PulsePoint.Virtual: This role enables associates to work virtually full-time ex...

UTILIZATION REVIEW NURSE LEADHYBRID must be able to travel to 3031 NE STEPHENS ST. ROSEBURG OR 97470EMPLOYMENT TYPE: Full-Time ExemptAbout Umpqua HealthAt Umpqua Health were more than a healthcare organizationwere a community-driven Coordinated Care Organization (CCO) dedicated to improving the heal...

Anticipated End Date:Position Title:LTSS Service Coordinator (Case Manager)Job Description:LTSS Service Coordinator (Case Manager)Hiring statewide across Ohio. Must reside in the state of Ohio.Location: This field-based role enables associates to primarily operate in the field traveling to client si...

Job Description:Industry: Healthcare / Health Services - Hospital AdministrationJob Category: Medical / Health - Administration The individual in this position has overall responsibility for hospital utilization management transition management and operational management of the Case Management Depar...

Job Description:Industry: Healthcare / Health Services - Hospital AdministrationJob Category: Medical / Health - AdministrationAre you a results-driven leader ready to make a meaningful impact to patients caregivers and your community At DMC Detroit Receiving Hospital we re seeking an innovative a...