Utilization Management Jobs in Douglas Qld

Overview:$5000 Sign-On Bonus for new-to-NCH employeesMonday - Friday 8 a.m. - 5 p.m.Full-Time 1.0 FTE 40 hour per weekLearn about Care Navigation: Experience: our website: Description Summary:

Find your calling at Mercy!Mercy Care Management Inpatient Utilization Care Management pre-certification specialist is responsible for completion of precertification notification authorization and work queue management for patient accounts admitted to Mercy designated facilities. Pre-certification(s...

Senior Supervisor Infusion Nursing - Accredo Specialty PharmacyHybrid Role Work from Home & In-Office in Marlborough MA. Candidates for this position should reside in Massachusetts or Connecticut and will supervise nurses working throughout Massachusetts Connecticut and possibly Rhode Island. What...

Anticipated End Date:Position Title:Director II Medical ManagementJob Description:Director II Medical Management Location: 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....

Company OverviewKR Wolfe is a nationally recognized leader in technology integration installation and specialty construction services. We support healthcare government education and commercial clients nationwide with a strong focus on safety compliance and operational excellence. Our people are the...

Company OverviewKR Wolfe is a nationally recognized leader in technology integration installation and specialty construction services. We support healthcare government education and commercial clients nationwide with a strong focus on safety compliance and operational excellence. Our people are the...

Company OverviewKR Wolfe is a nationally recognized leader in technology integration installation and specialty construction services. We support healthcare government education and commercial clientsnationwide with a strong focus on safety compliance and operational excellence. Our people are the f...

Company OverviewKR Wolfe is a nationally recognized leader in technology integration installation and specialty construction services. We support healthcare government education and commercial clients nationwide with a strong focus on safety compliance and operational excellence. Our people are the...

Company OverviewKR Wolfe is a nationally recognized leader in technology integration installation and specialty construction services. We support healthcare government education and commercial clients nationwide with a strong focus on safety compliance and operational excellence. Our people are the...

Quadelis seeking a Managing Director to provide seniorlevel leadership for the administration of the Housing Choice Voucher Program operating under contract with MiamiDade County Housing and Community Development. This position is intended for an experienced housing leader with a strong record of ma...

Job OverviewDevelop communicate and lead Physical Distribution (Logistics Shipping and applicable Customer Service functions related to delivery) for the Marvin Door business unit located in Windsor CT.Highlights of your roleManage/mentor Driver Dispatch Supervisor.Work with Enterprise Logistics Pro...

Job OverviewDevelop communicate and lead Physical Distribution (Logistics Shipping and applicable Customer Service functions related to delivery) for the Marvin Door business unit located in Windsor CT.Highlights of your roleManage/mentor Driver Dispatch Supervisor.Work with Enterprise Logistics Pro...

Position: Facets UM Consultant with pre-Auth Experience: -10Years Location: -Remote (PST TIME ZONE) Responsibilities: - A Facets UM Consultant is responsible for providing customers with application domain expertise related to Utilization Management rules and processes within the Facets platform....

Job Title: Licensed Practical Nurse Location (Onsite Remote or Hybrid): Albuquerque NM (onsite) Contract Duration: 13 weeks Working Hours: 6:00 PM - 6:30 AM Total Weekly Hours: 36 POSITION SUMMARY: Under the direction of a Registered Nurse (RN) the Licensed Practical Nurse delivers effic...

The Market Access Patient Services (MAPS) organization within APEX plays an instrumental role in shaping market access strategies for all of AbbVies domestic brands. As a member of this team you will plan and execute standard and ad-hoc analytics to identify/ quantify payer opportunities and threats...

This is a remote position with up to 50% domestic travel required. Candidates may reside in the Southwest or Western part of the United States and should expect frequent national travel.The AbbVie Employer NAE is responsible for supporting and implementing strategic business initiatives in response...

Sign on bonus may apply up to $15000 Position Summary: Reviews patient admissions for appropriateness efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts determining whether care provided is within established parameters....

DescriptionThe Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management care coordination resource utilization and clinical documentation. The RN Case Manager will...

Anticipated End Date:Position Title:Nurse Appeals -Utilization & Case ManagementJob Description:Nurse Appeals- Licensed NurseLocation: Virtual: This role enables associates to work virtually full-time except for required in-person training sessions providing maximum flexibility and autonomy. This a...

OverviewUtilization Management SpecialistFull Time 80 Hours Per Pay Period Day ShiftCovenant Health Overview:Covenant Health is the regions top-performing healthcare network with 10hospitalsoutpatient and specialtyservicesandCovenant Medical Group our areas fastest-growing physician practice divisio...