Utilization Management Jobs in USA

SummaryDelivers fundamental knowledge-based care to assigned clients while developing technical skills. Assesses plans implements evaluates the effectiveness of the Veterans Care. Serves to support delivery of high quality timely care to the Veteran receiving services in the community. Assumes respo...

SummaryThe 2-page Resume requirement does not apply to this occupational series. For more information refer to Required Documents below.Duties This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until October 16 2025 or until positions are filled. Eligible applications received...

SummaryResponsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses plans implements and evaluates the effectiveness of the Veterans care. Serves to support delivery of high quality timely care to the Veteran receiving services i...

SummaryThe Marion VA Health Care System is seeking a Full-Time Registered Nurse (RN) to serve in the Geriatrics and Extended Care Community Care section of Care Management & Social Work Service in Marion IL or Evansville IN.Duties The RN is responsible for executing an efficient appro...

SummaryThis position is eligible for the Education Debt Reduction Program (EDRP) a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval award amount (up to $2000...

What We Strive ForAt Strive Health were driven by a purpose: transforming the broken kidney care system. Through early identification engagement and comprehensive coordinated care we significantly improve outcomes for people with kidney disease reducing emergency dialysis and inpatient utilization....

SummaryThe Cincinnati VA Medical Center is seeking a Clinical Nurse Consultant in Integrated Access Services/Community Care at our Fort Thomas Campus. The RN is responsible for executing a streamlined approach to receiving triaging and directing timely coordinated care. The 2-page Resume requirement...

SummaryThe Cincinnati VA Medical Center is seeking a Registered Nurse - Home Health Care Coordinator in Integrated Access Services/Community Care at our Fort Thomas Campus. The RN is responsible for executing a streamlined approach to receiving triaging and directing timely coordinated care. The 2-p...

SummaryThe Cincinnati VA Medical Center is seeking a Registered Nurse - Community Care Coordinator in Integrated Access Services/Community Care at our Fort Thomas Campus. The RN is responsible for executing a streamlined approach to receiving triaging and directing timely coordinated care. The 2-pag...

Requisition Number:26744Required Travel: 11 - 25%Employment Type:Full Time/Salaried/ExemptAnticipated Salary Range:$205186.00-$275000.00Security Clearance:Ability to ObtainLevel of Experience:ExecutiveThis opportunity resides with Warfare Systems (WS) a business group within HIIs Mission Technologie...

SummaryThe Registered Nurse - Community Care Nurse Coordinator works collaboratively with the interdisciplinary care team including Referral Care Initiative (RCI) team other Integrated Clinical Communities. This role is critical in ensuring that Veterans receive quality healthcare services whether w...

Thanks for your interest in Childrens Mercy!Do you envision finding a meaningful role with an inclusive and compassionate team At Childrens Mercy we believe in making a difference in the lives of all children and shining a light of hope to the patients and families we serve. Our employees make the d...

We are seeking a Medical Director to lead our hospital and help shape the next chapter of our growth. This is an exciting opportunity for a veterinarian who is passionate about leadership mentorship and delivering top-tier medical care in a supportive collaborative environment. Our modern facility a...

General Practice Care - Medical Director - Austin TXAn exceptional veterinary hospital with a dedicated team is seeking an Medical Director to provide superior patient and client care to members of its community. The ideal team member for this hospital is a veterinarian who values creating long-te...

PM&R Medical Director Green Bay WIMondayFriday Schedule Leadership Clinical Role High Earning PotentialWe are seeking a Board-Certified Physical Medicine & Rehabilitation (Physiatrist) physician to serve as Medical Director for an established Facility in Green Bay WI. This is a rewarding opportu...

This role is field-based and candidates should live within a reasonable distance from the primary city.Candidates may live in the following cities:Louisville KentuckyThe Psychiatry Field Reimbursement Manager (FRM) acts as the key contact to address HCP questions about patient access and reimburseme...

Only applicants who apply with a State of Texas application via the CAPPS online application system will be considered for this position. First time applicants will need to create an account in the CAPPS online application system at Please visit our job opportunities page at for more information...

What You Get to Do:The Program Coordinator (PC) is the lead direct support professional foran assigned Supported Living PrograminOlympia WA and will be responsible providing direct support hands-on instruction assistance and positive direction to individuals with intellectual/developmental disabilit...

DescriptionThe Field Operations Manager is responsible for overseeing daily field activities to ensure operational efficiency quality service delivery and effective team performance. This role manages field personnel coordinates logistics ensures compliance with safety standards and drives continuou...

ROLE SUMMARYReporting to the US Specialty Care Medical Affairs (US SCMA) Lead for Gastroenterology and Rheumatology within headquarters the Senior Director Gastroenterology & Rheumatology will be an individual contributor and integral member of the US Medical team supporting current in-line assets a...