Utilization Management Jobs in USA

Anticipated End Date:Position Title:Medical Management Clinician AssociateJob Description:Medical Management Clinician AssociateCarelon Post Acute SolutionsA proud member of the Elevance Health family of companies Carelon Post Acute Solutions formerly myNEXUS is the leader in health resource optimiz...

Where Youll WorkWe believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.Penrose - St. Francis Health Services is a full-service 712-bed acute care provider inColorado Springs comprised of Penrose Hospital St. Fr...

Job DescriptionThe School of Animal Sciences (SAS) seeks an administrative assistant to provide support to the office of undergraduate education. The essential duties to the operation of the unit include recordkeeping and communication with faculty staff and students.Responsibilities include: provid...

Health Affiliates Maine has an opening for a Veterans Program Eligibility and Care Coordinator to join their team. This is a 40 hours per week/non-exempt position.Key Roles and Responsibilities:Administrative/Specific Position DutiesProcess Veteran referrals and confirm Fox eligibility for Veterans...

Where Youll WorkHoly Cross Hospital - Mountain Point is a 40-bed full-service hospital serving the residents of northern Utah County. Conveniently located in Lehi Mountain Point is easily accessible from I-15 and SR-92 just east of Thanksgiving Point. Working in a friendly community-focused hospital...

Residency Program Coordinator Location: RemoteLicense Requirements: LCSW/LCPC/LGPC/LMSW Compensation: $70000/year Schedule: Full-TimeWho We Are: Backpack HealthcareWe all walk around with an invisible backpack. It carries our emotional experiences traumas and unresolved feelings. Similar to a physic...

Health Affiliates Maine has an opening for a Veterans Program Eligibility and Care Coordinator to join their team. This is a 40 hours per week/non-exempt position.Key Roles and Responsibilities:Administrative/Specific Position DutiesProcess Veteran referrals and confirm Fox eligibility for Veterans...

Job Details CHN Denver - Denver CO Full Time $23.11 - $24.04 Hourly Day Nonprofit - Social ServicesDescription Job DescriptionPosition: Programs CoordinatorClassification: Non-Exempt Reports to: Associate Director of Administration (Northern Southern and Western regions)Client Services Manager (Denv...

SummaryWith oversight and direction from the Medical Education Manager the Program Coordinator is responsible for the coordination of daily activities and operations as it pertains to Medical Education trainees with a primary focus on the Family Medicine and Leadership Preventive Medicine Residencie...

WHAT MAKES VOA SPECIALVOAC recognizes the unique needs of the older adult who needs a wheelchair ramp to stay at home safely and the preschooler whose family needs additional resources. VOAC supports veterans efforts to exit homelessness as well as provides a safe place for survivors of domestic vio...

DescriptionOur Mission Statement:As a federally designated Hispanic-serving Institution residing on the traditional homelands of the 14 Confederated Tribes and Bands of the Yakama Nation Yakima Valley College cultivates equity and a culture of innovative and inclusive teaching and learning.Yakima Va...

Under general supervision the Program Coordinator provides administrative and operational support for the Graduate Programs in Theological Studies. Working closely with the Graduate Program Director this position assists with daily program activities student support recruitment events and recordkeep...

Job Details Los Angeles CA Full Time Bachelors Degree $124543.00 - $200549.00 Salary Local Travel Site to SiteDescription SUMMARY:The Director of Quality (DOQ) provides direction support and oversight in the development implementation and management of the Quality Program. The DOQ ensures programs a...

Accessible Dental Services (ADS) Inc. is a unique non-profit organization that provides quality dental care for individuals with disabilities. We use a combination of facilities-based services along with a mobile unit to create a superior dental experience for our special needs patients.ADS is curre...

Job Description: Conduct history and physical on new participants and event-based and periodic reassessments. Develop medical treatment plan and provide medically necessary services in the range of locations in which participants may reside. Interview and evaluate applicants to PACE Organization an...

Job Description: Under the supervision of the Executive Director. Provides general medical direction and supervision of the medical aspects of participant care Responsible for the delivery of participant care clinical outcomes and oversight of the Quality Assurance Performance Improvement (QAPI) pr...

Job Overview Title: Registered Nurse Case Manager Department: Case Management / Care Coordination Type: Contract (13 Weeks) Schedule: Day Shift 5x8-Hour (08:00 AM 04:30 PM) Every other weekend & holidays required Start Date: 12/01/2025 or ASAP Job Description Summary: The Registered Nurse...

Duration: 2-3 Months Contract Location: 100% Onsite Fort Worth TX 76155 PR: $19.50/hr on W2 Description: The primary responsibilities of this role will be aligned with one of the below four functional areas within the Drug and Alcohol team with the flexibility to support other areas a...

Our client a world leader in life sciences and biotechnology is looking for a NRD Medical Director (Remote). Job Duration: Long Term Contract (Possibility Of Extension)Pay Rate: $97/hr on W2 Company Benefits: Medical Dental Vision Paid Sick leave 401KThe NRD Medical Director provides strategic clini...

Do you want to be a part of a team that is providing essential primary care to the employees of Wonderful Pistachios Wonderful Halos and POM Wonderful Help bring healthcare services directly to their workplace as we reduce the number of employees living with preventable chronic diseases and illnesse...