Utilization Management Jobs in USA

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Job Description SummaryDepartment - HealthJob DescriptionJob Type: ClassifiedJob Classification: 5558 - Public Health Program CoordinatorSalary Grade: 11Pay RangeHiring Range: $54891 - $65873 AnnuallyPay Range: $54891 - $76856 AnnuallyRange Explanation:Hiring Range is an estimate of where you can re...

POSITION SUMMARY:The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. This role ensures compliance with hospital policies regulatory requirements and payer guidelines w...

POSITION SUMMARY:The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. This role ensures compliance with hospital policies regulatory requirements and payer guidelines w...

About NetskopeToday theres more data and users outside the enterprise than inside causing the network perimeter as we know it to dissolve. We realized a new perimeter was needed one that is built in the cloud and follows and protects data wherever it goes so we started Netskope to redefine Cloud Net...

Field Operations ManagerLocation: Birmingham ALReports to: Chief Operating OfficerCompensation: Competitive salary performance-based bonus eligibilityEmployment Type: Full-timeAbout CreatureCreature is a vertically integrated builder that self-performs electrical plumbing HVAC (mechanical) and carp...

OverviewBanner Rehabilitation Hospital - Tucson (Opening in February 2026)In Partnership with Select MedicalPosition: Discharge Planner/ Case ManagerSchedule:Full-TimeIf youre passionate about patient care and excited to help shape a new hospital apply today!Our Inpatient Rehabilitation Hospital is...

Our CompanyAdoration Home Health and HospiceOverviewThe Patient Care Manager Assistant supports the Clinical Manager in coordinating staff to ensure continuity and quality of care for assigned home health patients. Ensures team members are informed skilled and deliver care efficiently in compliance...

Our CompanyAdoration Home Health and HospiceOverviewThe Patient Care Manager Assistant supports the Clinical Manager in coordinating staff to ensure continuity and quality of care for assigned home health patients. Ensures team members are informed skilled and deliver care efficiently in compliance...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Director of Case Management$10000 Sign On BonusFull Time: Monday - Friday 8-5pmClinical license as a registered nurse or respiratory therapist or masters in social work and minimum three (3) years of medical case management o...

Thank you for your interest in a career at NeighborHealth formerly East Boston Neighborhood Health Center!As one of the largest community health centers in the country NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and c...

Job Summary:The Shelter Program Coordinator will assist guests who are experiencing homelessness and are often times struggling with substance abuse trauma physical or mental health. The Coordinator will work with the Shelter Manager shelter staff Community Partnership Manager and other service prov...

Job TitleProgram CoordinatorWhy IDSIDS believes in resolving conflict building innovative approaches to do so. Combining operational expertise with an intimate understanding of todays greatest challenges we bring our customers the solutions required for success in a complex and multidimensional worl...

Our CompanyResCare Community LivingOverviewOur operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today!ResponsibilitiesProvides...

Care Coordinator - Pathways ProgramKenneth Young Center is a 501(c)(3) not-for-profit dedicated to providing comprehensive outpatient behavioral health services to individuals of all walks of life. Located in the Northwest suburbs of Chicago we offer a wide range of services including outpatient the...

Incredible Medical Director Opportunity!Are you an experienced Primary care medical director Are you looking for an exciting new roleThis position may be the perfect fit for you! A successful and growing company is seeking a qualified Medical Director to join its team to provide compassionate and qu...

POSITION TITLE:  Field Operations ManagerREPORTS TO: Territory Operations ManagerPRINCIPAL RESPONSIBILITIES: Accountable for Industrial Crane Service profitability field operations personnel customer satisfaction and operational excellence in the assigned Territory/Branch. Through demonstrable and s...

Bed Management Registered NurseThe Clinical Admission RN reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.Respon...

As a Field Learning Manager and a member of the OpEx leadership team you are responsible for leading the learning and development strategy for all employees on site exempt and non-exempt while supporting operational and broader business objectives. This role drives the execution of learning programs...

OverviewBonus Potential! Monthly and Quarterly Bonus Incentives!Are you looking for a physician practice with a family environment but with the benefits and support a large organization can provide Where daily patient care is backed by evidenced based medicine and career options are limitless then l...