Utilization Management Jobs in USA

Via is on a mission to create public transportation systems that provide greater access to jobs healthcare and education. Our platform serves as the technology backbone for modern transit networks transforming antiquated and Via is on a mission to create public transportation systems that provide gr...

*This position is located in Coral SpringsJob SummaryPlans assesses re-assess implements monitors and evaluates the options and services required to meet the healthcare needs of the patients using the functions of Utilization Resource Management Transition of Care Discharge Planning and Case Managem...

PURPOSE STATEMENT:Proactively monitor utilization of services for patients and optimize reimbursement for the facility. Review for quality of services provided and medical necessity.ESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facilitys professional clinical staff.Co...

PURPOSE STATEMENT:Proactively monitor utilization of services for patients and optimize reimbursement for the facility. Review for quality of services provided and medical necessity.ESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facilitys professional clinical staff.Co...

WHO WE ARE & WHAT WE DOTallahassee Memorial Healthcare (TMH) is a private nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia. We are a career destination with over 6000 colleagues who reflect the diversity of our community.TMH is t...

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....

The State of Texas is an Equal Opportunity Employer and does not discriminate on the basis of race color national origin sex religion age or disability in employment or the provision of services. You may make copies of this application and enter different position titles but each copy must be signed...

Syracuse City Corporation is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race color religion gender national origin age disability veteran status or any other status protected under local state or federal laws.Job Title: Recreatio...

DescriptionThe Capacity Management Analyst I applies knowledge of the clients clinical or business requirements Epic Cadence application capabilities and technical skills to implement and support advanced scheduling throughout the Ambulatory enterprise. The Capacity Management Analyst I will be a su...

The Field Operations Manager - Americas is a critical role in delivering our next phase of growth in the Americas  this role you will partner closely with multiple of the Regional Vice Presidents throughout the Americas Region with responsibilities spanning planning forecasting segmentation territor...

Join Ecolabs industry-leading Pest Elimination team as a Field Operations Manager in the Portland OR/Vancouver WA Metro area.As a Field Operations Manager you will develop and lead a team of Service Specialists who provide pest detection elimination and prevention solutions to restaurants hospitals...

Join Ecolabs industry-leading Pest Elimination team as a Field Operations Manager in the Washington DC area.As a Field Operations Manager you will develop and lead a team of Service Specialists who provide pest detection elimination and prevention solutions to restaurants hospitals hotels retail sto...

Bond Vet is on a mission to strengthen the human-animal bond through better pet care. We offer primary and urgent care so were there for pets when they need us most. Our clinics are designed with pets and people in mind: warm friendly and highly sniffable. We balance this design with a strong focus...

Job DescriptionBe a part of a world-class academic healthcare system Company as a RN Managerin the Rev Cycle Department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area.The Manager of...

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...

Job DescriptionBe a part of a world-class academic healthcare system Company as a RN Managerin the Rev Cycle Department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area.The Manager of...

City/StateRichmond VAWork ShiftFirst (Days)Overview:Sentara Health Plans is hiring for a Behavioral Health Utilization Management Care Coordinator- Whole Person Care- Hybrid in Central Virginia!Position Status: Full-time permanent (40 hours/week)Position Location: This is a hybrid role based in Cent...

City/StateVirginia Beach VAWork ShiftFirst (Days)Overview:Sentara Health Plans is hiring for a Behavioral Health Utilization Management Care Coordinator- Whole Person Care- Hybrid in the Tidewater Region!Position Status: Full-time permanent (40 hours/week)Position Location: This is a hybrid role bas...

Job Summary:This position is a per diem role providing department coverage and cross trained to cover Utilization Review and Discharge Planning as needed. It is eligible for the per diem differential in lieu of benefits. It is a remote hybrid position that does require occasional on-site shifts.The...

Are you a current Aims Employee Temporary Worker If so to help avoid future access issues please apply through your Workday account using Browse Jobs in the in the Workday search field located on the top center of the screen.Are you a current Aims Student If so to help avoid future access issues ple...