Utilization Management Jobs in USA

I.    General SummaryUnder general supervision of the Manager of Case Management the Case Manager provides care coordination and discharge planning for an assigned patient case load.  The Case Manager will assess individual patients needs coordinate and implement plans of care and monitor and evalua...

UTILIZATION REVIEW SUPERVISORRockford RemoteIn this position you will be working with a team of independent and autonomous Intake Coordinators and Utilization Review Nurses to break down barriers and ensure quality and timely determinations are delivered to providers and collaboration with your dep...

 We are seeking a Clinical Care Manager who is passionate about advancing highquality compliant patientcentered care through precise and timely Utilization this role you will apply clinical expertise and regulatory knowledge to evaluate healthcare services ensure medically necessary care support pr...

Ashburn Consulting is seeking a detail-oriented Network Performance Engineer to join our federal clients infrastructure this role you will be responsible for ensuring the high availability security and peak performance of a federal clients global network architecture. You will leverage specialized...

Career CategorySalesJob DescriptionJoin Amgens Mission of Serving PatientsAt Amgen if you feel like youre part of something bigger its because you are. Our shared missionto serve patients living with serious illnessesdrives all that we do.Since 1980 weve helped pioneer the world of biotech in our fi...

Lead the Future of Home-Based Care in Washington. Join myLaurel as a Clinical Field Manager (Lead ARNP or PA-C) spearheading our Everett market. This Player-Coach role is designed for a high-acuity clinician ready to master Clinical Operations while maintaining an edge in acute patient care. You wil...

At Dow we believe in putting people first and were passionate about delivering integrity respect and safety to our customers our employees and the planet.Our people are at the heart of our solutions. They reflect the communities we live in and the world where we do business. Their diversity is our s...

The role of the Field Operations Manager is to support the organization drive operational processes within their assigned stores. The position works with leadership to drive overall company priorities and identify efficiencies with process to maximize the return on the operational investment. The ro...

Medical Director (DVM) Cisco TXA progressive mixed-animal practice in Cisco Texas is seeking aMedical Director to lead a dedicated clinical team and guide the delivery of high-quality compassionate care. This is an exceptional opportunity for an experienced veterinarian ready to combine hands-on me...

Hourly Pay Range:$40.45 - $62.70 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Sign on bonus: (if applicable) Position: Location: City ILFull Time/Part Time: Full Time / Part TimeHours: Monday-Friday hours and fl...

DescriptionThe Financial Counselor screens uninsured patients for Medicaid and financial assistance and evaluates the patients ability to pay for services. The Financial Counselor performs administrative and support activities relative to payment for services rendered to insured patients including c...

About Corewell HealthOur new name signals our bold commitment to health and wellness. At our core we are here to help people be well so they can live their healthiest life possible.Through health care and health coverage we create more value. Through compassion collaboration clarity curiosity and co...

Primary Location: Peace - LouisvilleAddress: 2020 Newburg Rd. Louisville KY 40205 Shift: Days 7A - 7P (United States of America)Job Description Summary: UofL Health is a fully integrated regional academic health system with five hospitals four medical centers nearly 200 physician practice lo...

If youre ready to be part of our legacy of hope and innovation we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.Day - 08 Hour (United States of America)This is a Stanford Health Care job.Step into a role that keeps our Facilities Pla...

OverviewThe Clinical Coordinator serves as a key School of Nursing role reporting to the Director of the program. This position provides administrative and operational support for assigned data collection systems and program records to ensure accuracy completeness and compliance. This position works...

DescriptionOur Mission:Keep Washington Safe and Working!Our Values: Customer Focus One L&I Respect Diversity Equity and Inclusion Learning and Growth ReliabilityJob HighlightsAs the Agency Employee Transportation Coordinator (ETC) you will work within the Transportation Management Office to manage A...

Primary Location: Peace - LouisvilleAddress: 2020 Newburg Rd. Louisville KY 40205 Shift: Second Shift (United States of America)Job Description Summary: UofL Health is a fully integrated regional academic health system with five hospitals four medical centers nearly 200 physician practice lo...

DescriptionThe Program Coordinator provides hands-on program support for Executive MBA and non-degree offerings with a focus on day-to-day program operations and delivery. The role works closely with colleagues in the Healthcare Division and across Graduate & Executive Education to complete assigned...

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industrys mo...

***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***Job SummaryNevada Health Authority Directors Office is recruiting for a Management Analyst 4. The Management Analyst 4 under general directi...