Utilization Management Jobs in USA

Are you looking for a part-time job that you can sink your heart intoWould you like to work a flexible scheduleWould you like to earn up to $18 per hour 5 hours a weekAs a Program Coordinator you will be an integral member of our mission to improve the quality of life for individuals families and se...

Employment Coordinators are responsible forplanning preparing and helping to securejobs for adults who live with mental health impairments and are working towards their recovery utilizing the Individualized Placement and Support (IPS) evidence-based practice. BACS staff prides itself on doing whatev...

Are you looking for a part-time job that you can sink your heart intoWould you like to work a flexible scheduleWould you like to earn up to $18 per hour 5 hours a weekAs a Program Coordinator you will be an integral member of our mission to improve the quality of life for individuals families and se...

Who is BlueprintWe are a technology solutions firm headquartered in Bellevue Washington with a strong presence across the United States. Unified by a shared passion for solving complicated problems our people are our greatest asset. We use technology as a tool to bridge the gap between strategy and...

Incredible Medical Director Opportunity! A successful and growing company is seeking a qualified Medical Director to join its team to provide compassionate and quality care to all patients in their skilled nursing facilities within Hopkinsville KY. Explore an environment that fosters both profession...

Incredible Medical Director Opportunity! A successful and growing company is seeking a qualified Medical Director to join its team to provide compassionate and quality care to all patients in their skilled nursing facilities within Corbin KY. Explore an environment that fosters both professional and...

Clean Water Action is looking to hire a core team of motivated individuals with a passion for progressive social change to fill community-outreach and management positions.This is a full-time position. We are looking to hire candidates who are available to start immediately. This is an in-person job...

Position Purpose: As a Provider Engagement Account Executive you will own the strategic partnerships between the health plan and our contracted provider networks in the Queens and Bronx markets. You will serve as the primary C-suite liaison driving performance improvement value-based care initiative...

Use Your Strengths as a Case Management Nurse I at Wellmark! About the role: As a Case Management Nurse I you will serve as a key advisor who actively engages with members through a variety of channels to foster a caring and trusting level of connection in order to support their chronic and/or compl...

Use Your Strengths as a Case Management Nurse I at Wellmark! About the role: As a Case Management Nurse I you will serve as a key advisor who actively engages with members through a variety of channels to foster a caring and trusting level of connection in order to support their chronic and/or compl...

Use Your Strengths as a Case Management Nurse I at Wellmark! About the role: As a Case Management Nurse I you will serve as a key advisor who actively engages with members through a variety of channels to foster a caring and trusting level of connection in order to support their chronic and/or compl...

This position is contingent upon awardInternational Health and Medical Services is looking for an experienced Psychiatrist to provide comprehensive mental health assessments diagnoses and treatment plans for patients ensuring they receive appropriate care. This role involves collaborating with the h...

ESSENTIAL FUNCTIONS:Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patients provider benefits for their needs.Conducts and oversees concurrent and retrospective reviews for all patients.Act as a liaison between Medicaid reviewers and the staff...

Datadog is seeking a highly organized and detailed-oriented Field Marketing Manager who is enthusiastic about event planning thrives in a demanding environment and is committed to delivering exceptional client-facing experiences. As a member of the NAMER Field Marketing team you will be responsible...

Our GTM Enablement team is a unique strategy and curriculum team that plays an integral part in connecting our go-to-market approach and curriculum to customer value. Were interdisciplinary thinkers leveraging diverse business backgrounds in engineering education management consulting business opera...

Medical Director (DVM) Omaha NEA progressive small animal practice in Omaha Nebraska is seeking a compassionate and experienced Medical Director to lead its veterinary team and drive clinical excellence. This is an ideal opportunity for a skilled veterinarian ready to take the next step into a lead...

Medical Director (DVM) $50K Sign-On Bonus Leadership Growth Opportunity Yuma AZAn established small animal practice in the Yuma Arizona area is seeking a Medical Director to guide a dedicated medical team while providing exceptional patient care. This opportunity is ideal for a doctor ready to tak...

Medical Director (DVM) Stockton CAA well-established small animal practice in Stockton CA is seeking an experiencedVeterinarian to step into a Medical Director role. This position offers the perfect balance of clinical practice and leadership with the flexibility to shape medical protocols mentor a...

Medical Director (DVM) Vacaville CaliforniaA thriving small animal practice in Vacaville California is seeking an experienced Veterinarian to step into a Medical Director role and lead a dedicated clinical team. This is an excellent opportunity for a motivated doctor looking to combine hands-on med...

Where Youll WorkJob Summary and ResponsibilitiesThis is a remote positionAs the Utilization Management Physician Advisor (PA) the PA conducts clinical case reviews referred by case management staff and/or other health care professionals to meet regulatory requirements and in accordance with the hosp...