Utilization Management Jobs in USA

Liberty Healthcare seeks to hire an Internal Medicine or Family Medicine Physician for a full-time Medical Director position at DHCI in Smyrna Delaware.DHCI is a highly rated 200-bed skilled nursing facility which provides an array of residential medical and therapy services to older adults as well...

OverviewLegacy Health has an opportunity for a Hospitalist leader to join the Emanuel team. This position directs all aspects of hospitalist team operations to ensure alignment with the mission values and strategic objectives of the organization. Responsible and has authority to recruit & retain the...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Anticipated End Date:Position Title:LTSS Service Coordinator (Case Manager) South Central OhioJob Description:LTSS Service Coordinator (Case Manager)Candidates should live in one of the following counties: Hocking Licking Madison Morgan Monroe Noble Perry or Union County.Location: This field-based r...

Anticipated End Date:Position Title:LTSS Service Coordinator - Case Manager (Lee/Sarasota County)Job Description:LTSS Service Coordinator (Bilingual in Spanish/English)Schedule: Monday-Friday 8am-5pm ESTLocation: This is primarily a field based position. Candidate would need to reside in one of the...

Anticipated End Date:Position Title:LTSS Service Coordinator - Case Manager (Bay/Escambia/Santa Rosa)Job Description:LTSS Service Coordinator Schedule: Monday-Friday 8am-5pm ESTLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Bay Ca...

Anticipated End Date:Position Title:LTSS Service Coordinator - Case Manager (Pasco/Pinellas)Job Description:LTSS Service Coordinator (Bilingual in Spanish/English)Schedule: Monday-Friday 8am-5pm ESTLocation: This is primarily a field based position. Candidate would need to reside in one of the follo...

Anticipated End Date:Position Title:LTSS Service Coordinator - Case Manager (Broward County)Job Description:LTSS Service Coordinator (Bilingual in Spanish/English)Schedule: Monday-Friday 8am-5pm ESTLocation: This is primarily a field based position. Candidate would need to reside in one of the follo...

The work we do matters!Hiring Agency:Health & Human Services - Agency 25Location: Lincoln NEHiring Rate:$26.138Job Posting:JR2026- Mobile Maternal Care and Training Program Coordinator (Open)Applications No Longer Accepted On (If no date is displayed job is posted as open until closed):Job Descripti...

DescriptionRecognized by Newsweek in 2024 and 2025 as one of Americas Greatest Workplaces for DiversityGrow your career with Brookdale! Our Clare Bridge Program Coordinators have opportunities for advancement by exploring a new career in positions such as Clare Bridge Program Managers Resident Progr...

OverviewThe Program Coordinator Senior for Student Research Programs in the Office of Research will be responsible for the day-to-day coordination and long-term planning and implementation of USUs nationally recognized central supports for student engagement in mentored research experiences at every...

DescriptionJob Posting Summary: The Ensworth Visual and Performing Arts Program Coordinator will work under the supervision of the K-12 Arts Director to support K-12 Arts programming at Ensworth. This position provides administrative support with responsibilities that will coordinate a variety of as...

DescriptionJob SummaryGlobal Product Regulatory Compliance at Coherent ensures that the companys diverse portfolio of products meet applicable regulations worldwide. The team plays a critical role in enabling safe compliant and sustainable product commercialization by minimizing hazardous substances...

DescriptionDo you like being responsible for residential and community programs Do you enjoy setting departmental goals leading staff and holding them accountable Do you enjoy working and coordinating with a multi-disciplinary teamIf you answered YES to either of these questions then consider joinin...

Minimum Entrance RequirementsThis requisition will remain open until filled; however first consideration will be given to those applicants that apply within the first 14 days.This position is open to current employees of the Massachusetts Department of Transportation only.Current MassDOT employees s...

**Core Responsibilities:**- Engage comprehensively in all components of the Case Management Program (CMP) to ensure compliance with established case management (CM) standards of care.- Leverage nursing expertise throughout the CM process involving assessment planning implementation coordination and...

Purpose: The primary focus of this role is to provide Medical Safety Review (MSR) departmental and therapeutic area leadership in addition to medical review of clinical trial SAEs and associated functional area activities. Responsibilities:  Demonstrates significant functional area ownership; contri...

The Medical Affairs organization provides patients healthcare providers and payers everywhere with the practical and clinically relevant information and solutions they need to use AbbVie products safely and effectively throughout the product lifecycle and the patients journey.Purpose: Reporting to t...

Passion for Life Inc. is seeking applicants for the Program Operations Coordinator Intern position to support the planning coordination and execution of our career readiness programs. This role will assist with program logistics data tracking participant engagement and process improvement. The ideal...