Utilization Management Jobs in Douglas Qld

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Grievance Supervisor

Central California Alliance For Health

profile Santa Cruz - USA

OUR COMMITMENT TO A HUMAN HIRING PROCESSWe believe every candidate deserves thoughtful wedo not use AI or automated systems toreview applications. Every application is reviewed bya realhumanmember of our team. Because we take the time to give each submission the attention it deserves our review pro...

30+ days ago
Full Time

Case Management Assistant (full-time, Temporary, D...

Enloe Health

profile Chico - USA

ENL Case ManagementCompensation range:$22.34 - $28.60Your rate of pay will be based on applicable experienceShift: Days Days off: Variable Hours per pay period: 80Shift length: 8 HoursEnloe Health is a Level II Trauma Center...

30+ days ago
Full Time

Utilization Review Manager

Nrt |foundry Treatment Center

profile Broomfield - USA

Utilization Review ManagerReports to: CEOJob Category: Salaried Exempt Full-TimeStarting Salary: $75000-$95000/year (DOE)Job Site: Remote (must reside in Colorado)Job Summary:The Utilization Review Manager is responsible for overseeing utilization review activities to ensure medical necessity regu...

30+ days ago
Full Time

Case Manager (lvn Or Rn)

Astrana Health

profile Monterey Park - USA

Astrana Health is looking for a LVN Case Manager who has the ability to commute to our Monterey Park office at 1600 Corporate Center Drive. This position works standard day hours M-F and we are willing to train a LVN with no case management experience! You will have the ability to work with pediatri...

30+ days ago
Full Time

Outpatient Site Manager Physical Therapist (pt)

Brightspring Health Services

profile Hendersonville - USA

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...

30+ days ago
Part-Time

Outpatient Site Manager Physical Therapist (pt)

Brightspring Health Services

profile Melbourne - USA

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...

30+ days ago
Full Time

Senior Software Engineer Ai Systems

Nxt Level

profile New York City - USA

Senior Software Engineer (Agentic AI / Healthcare)Location: New York NY (Manhattan) Hybrid (3 days onsite)Compensation: $150000$250000 base equityContact / Apply:Ryan Johnston - About Our ClientOur client is a venture-backed healthcare technology company based in New York and Toronto building agent...

30+ days ago
Full Time

Outpatient Site Manager Physical Therapist (pt) Or...

Brightspring Health Services

profile Carrollton - USA

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...

30+ days ago
Part-Time

Um Coordinator Hybrid

Astrana Health

profile Monterey Park - USA

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in reviewing monitoring and processing prior authorization requests while ensuring compliance with regulatory standards and health plan guidelines. The UM Coordinator will serve as a key liaiso...

30+ days ago
Full Time

Medical Director, Clinical Review And Care Integri...

Mvp Service

profile Schenectady - USA

Join Us in Shaping the Future of Health CareWhats in it for you:Growth opportunities to uplevel your careerA people-centric culture embracing and celebrating diverse perspectives backgrounds and experiences within our teamCompetitive compensation and comprehensive benefits focused on well-beingAn op...

30+ days ago
Full Time

Outpatient Site Manager Physical Therapist (pt) Or...

Brightspring Health Services

profile New Smyrna Beach - USA

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...

30+ days ago
Full Time

Rn Ft Or Pt In Patient Logistics St Peters Hospita...

Trinity Health

profile Albany - USA

Employment Type:Full timeShift:Day ShiftDescription:Full Time or Part Time availability in PATIENT LOGISTICSSt. Peters Hospital in Albany NY is looking for an experienced RN to work as a Registered Professional Nurse as part of the C3 Patient Logistics team full time days. The team is willing to hel...

30+ days ago
Full Time

Um Coordinator Denials

Astrana Health

profile Monterey Park - USA

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in compliance with Astrana Health policies NCQA standards health plan requirements and federal and state...

30+ days ago
Full Time

Outpatient Site Manager Physical Therapist (pt), O...

Brightspring Health Services

profile Winter Garden - USA

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...

30+ days ago
Full Time

Outpatient Site Manager Physical Therapist (pt)

Brightspring Health Services

profile Melbourne - USA

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...

30+ days ago
Full Time

Outpatient Site Manager Physical Therapist (pt) Or...

Brightspring Health Services

profile New Smyrna Beach - USA

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...

30+ days ago
Full Time

Outpatient Site Manager Physical Therapist (pt) Or...

Brightspring Health Services

profile Carrollton - USA

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...

30+ days ago
Part-Time

Um Coordinator Hybrid

Astrana Health

profile Monterey Park - USA

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in reviewing monitoring and processing prior authorization requests while ensuring compliance with regulatory standards and health plan guidelines. The UM Coordinator will serve as a key liaiso...

30+ days ago
Full Time

Rn Ft Or Pt Nights In Patient Logistics St Peters ...

Trinity Health

profile Albany - USA

Employment Type:Full timeShift:Night ShiftDescription:Full Time or Part Time Night availability in PATIENT LOGISTICSSt. Peters Hospital in Albany NY is looking for an experienced RN to work as a Registered Professional Nurse as part of the C3 Patient Logistics team full time days. The team is willin...

30+ days ago
Full Time

Outpatient Site Manager Physical Therapist (pt), O...

Brightspring Health Services

profile Winter Garden - USA

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...

30+ days ago
Full Time