Utilization Management Jobs in USA

At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are our expertise in Innovative Medicine and MedTech we are unique...

About the RoleCommunity-GoHealth Urgent Care is seeking a Medical Director to lead and inspire a high-performing clinical team of physicians nurse practitioners and physician assistants. This role focuses on delivering exceptional patient care while ensuring an outstanding customer experience across...

DescriptionCenturion is proud to be the NEW provider of comprehensive healthcareservicesto the Maryland Department of Public Safety and Correctional Services.We are currently seeking a full-timeSite Medical Director forclinical services provided to the Maryland incarcerated population atNorth Branch...

DescriptionCenturion Health is proud to be the provider of healthcare services to the Illinois Department of Corrections.We are currently seeking afull-timeSite Medical Directorto join our team at Lawrence Correctional Center located in Sumner Illinois. Sumner is located less an hour from Terre Haut...

Opportunity DetailsPosition Title: Addiction Psychiatrist Medical DirectorLocation: Atlanta GATalbott Recovery Main Campus on Hunter Road in Atlanta GA is a leading addictiontreatment center known for its comprehensive evidencebased programs and serene 100acre setting designed to support longterm re...

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans Transitioning Military National Guard and Reserve Members Military Spouses Wounded Warriors and their Caregivers....

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...

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...

The Specialty Populations Clinical Care Manager (CCM) is responsible for longitudinal care management and clinical oversight of members with complex behavioral health needs residing in high acuity and long-term residential settings. These settings include Extended Acute Care Non-Hospital Extended Ac...

Where Youll WorkFounded in 1926 Glendale Memorial Hospital and Health Center is a 334-bed acute care nonprofit community hospital located in Glendale California. The hospital offers a full complement of services including its award winning heart center the colorectal surgery institute a gastrointest...

The Clinical Care Manager is responsible for utilization management by conducting utilization review activities population management cross-system consultation provider management and treatment quality monitoring. The Clinical Care Manager must utilize clinical knowledge of best practices and eviden...

RN or LCSW Manager Case ManagementLocation: Savannah GA (Onsite) Schedule: Full-Time Day Shift No Weekends Employment Type: Permanent Leadership RoleCompensation & IncentivesSalary: Up to $105000 annually (based on experience)Sign-On Bonus: Available on a case-by-case basisRelocation Assistance:...

Director of Case ManagementLocation: Nashville TN (Onsite) Schedule: Full-Time Day Shift No WeekendsCompensation & IncentivesSalary Range: $109762 $135000 (based on experience)Annual Incentive Bonus: 17.5%Sign-On Bonus: $10000Relocation Assistance: Available on a case-by-case basisBenefits: Compr...

OverviewNaphCare is hiring an Administrative Assistant (AA) to join our team of medical professionals in the Black Hawk County Jail in Waterloo IA.As a Correctional AA you will work alongside correctional officers and other medical professionals who provide care to the individuals in residence. Work...

Job DescriptionJoin a world-class academic healthcare systemUChicago Medicine Crown Point located in Crown Point Indiana as a Insurance Verification and Authorization Specialist. UChicago Medicine is an integrated academic and community health system with multiple primary medical facilities within t...

Anticipated End Date:Position Title:LTSS Service Coordinator (Case Manager)Job Description:LTSS Service Coordinator (Case Manager)Candidates should live in one of the following counties: Adam Butler Carroll Columbiana Defiance Hamilton Harrison Jackson Lawrence Van Wert Williams.Location: This field...

Initial Posting Date: 01/20/2026Application Deadline:01/26/2026Agency:Judicial DepartmentSalary Range:$6542 - $10149Position Type:EmployeePosition Title:Program Coordinator (Treatment Court Coordinator)Job Description:Note:Effective February 1 2026 the Oregon Judicial Department will implement a cos...

General Position SummarySupervises Juvenile Department Behavioral Rehabilitation Services Program (BRS). Supervises duties of BRS program staff. With Director coordinates with the Oregon Youth Authority (OYA) and Oregon Department of Human Services (DHS) for BRS program intake licensing contracting...

Position Function:The Program Coordinator for the Office of the Provost and Executive Vice President will support the vision and mission of the Provost Office by managing projects assisting with basic business functions and providing basic office administrative support..Salary Grade:14Please see Sta...

AgencyDept of TransportationDivisionDivision of Motor VehiclesJob Classification TitleProgram Coordinator III (S)Position NumberGradeNC12About UsIts the mission of the NC Department of Transportation to connect people products and places safely and efficiently with customer focus accountability and...