Utilization Management Jobs in USA

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...

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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...

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...

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...