Utilization Management Jobs in USA

Manager Gas Integration & Supply Location: Spartanburg SC Type: Direct Hire Competitive base salary performance bonus 100% company-paid benefitsOverviewWe are seeking a Manager Gas Integration & Supply to support continuous reliable data center operations by forecasting modeling and securing natur...

1st TIME OK/ 2 YR EXP required for Utilization Review RN every other weekend required or more depending on unit needs no call or floating required MUST HAVE experience with Milliman Care Guidelines and Acute Hospital Experience!! The Emergency Prospective Review (EPR) Nurse RN has the responsibi...

Description: Computer Support AssociateProvides basic day-to-day operational support for a computing environment (computer center unit computing a community of users et c.) following established procedures in order to contribute to the smooth running of that environment. Support activities requir...

Please send me the resumes to Job Position; Program Management (Business Intelligence) Location: San Francisco CA Duration: 6 months Required skills;Experience in Tableau Power BI- SQL. Experience in Unit testing integration testing and system testing Risk Management Incident Management...

Salary: $120000.00 We have partnered with a large meat packaging company in the Greeley CO area to provide them with a Manager of Revenue and Margin Management. Please review the description below and let us know if you are interested. Prioritized Must Have Skills for the Manager of Revenue an...

Analytics Analyst Primary focus: SQL PowerBI Tableau Analysis interpretation and business storytelling Job Description: Key characteristics discussed Strong SQL proficiency Emphasis on strategic insights not just data pulls Ability to analyze data derive insights and communicate them clearly Creat...

The RoleThree days per week you see appointments perform surgery and dentals and practice at the top of your license. One day per week is yours to mentor newer veterinarians and lead our weekly two-hour hospital rounds. You work across all three teamsCustomer Experience (CET) Technicians (TT) and Ve...

As the Medical Director Veterinarian you will serve as the pivotal leader of our hospital. Your role encompasses a broad range of responsibilities including but not limited to leadership and staff management client relations medical quality assurance financial oversight of the practice in partnershi...

DCASs mission is to make city government work for all New Yorkers. From managing New York Citys most iconic courthouses and municipal buildings to purchasing over $1 billion annually in goods and services for more than 80 City agencies. What we do ensures that all agencies can deliver on their missi...

DCASs mission is to make city government work for all New Yorkers. From managing New York Citys most iconic courthouses and municipal buildings to purchasing over $1 billion annually in goods and services for more than 80 City agencies. What we do ensures that all agencies can deliver on their missi...

Salary $56000Must have Must have LCDC II LCDC III LICDC or LICDC-CS certificationConducts Trainee Employee Assistance Program assessments develops intervention plans and makes referrals for identified students. Develops implements and facilitates Trainee Employee Assistance Program prevention groups...

**This is a part time position at 20 hours per week located at the Lake Forest Outpatient Rehab Clinic. **The Rehabilitation Patient Access Specialist reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relev...

Suncoast Hospice a member of Empath Health is seeking an Associate Medical Director to provide clinical leadership and oversight for hospice and palliative care ensuring highâquality medical care for patients and families. This fullâtime role includes rounding leading interdisciplinary teams managin...

Location:Calmont Operations BuildingDepartment:Network MgmtShift:First Shift (United States of America)Standard Weekly Hours:40Summary:Responsible for providing oversight and service for CCHP providers including the creation/implementation of: physician hospital and ancillary provider orientation tr...

Anticipated End Date:Position Title:LTSS Service Coordinator (Case Manager) Northeast OhioJob Description:LTSS Service Coordinator (Case Manager)Candidates should live in one of the following counties: Cuyahoga Geauga Lake Medina Stark Summit or Wayne County.Location: This field-based role enables a...

The Continuous Improvement / Business Process Engineer (CI/BPE) supports operational improvement initiatives across healthcare call center and claims operations. This role focuses on executing welldefined improvement work documenting and analyzing processes and supporting the implementation of effic...

The Senior Continuous Improvement / Business Process Engineer plays a key role in improving how healthcare call center and claims operations this role youll lead complex crossfunctional initiatives take on ambiguous enterprisewide challenges and deliver meaningful measurable improvements through sm...

Overview:Title: Patient Care Navigator (CMA/RMA)Location: Dallas TX - OnsiteThe Patient Care Navigator (we call this a Care Guide) exists to restore trust clarity and continuity in healthcare by giving members a real relationship with someone who has their back.This role blends the best of customer...

The Volunteer Program Coordinator oversees the development and implementation of the youth mentoring program which matches adult volunteer mentors with youth in a one-to-one relationship. The Volunteer Program Coordinator ensures program quality and performance related to recruiting screening matchi...

TempToFTMEMCO SER is currently looking for a Facility Maintenance to work in Katy TX asap!!Position Overview:We are seeking a skilled and dependable Facility Maintenance to support the ongoing operation and upkeep of our facility. This role is responsible for troubleshooting repairing and maintainin...