Utilization Management Jobs in USA

Anticipated End Date:Position Title:LTSS Service Coordinator - Case Manager (Region D: Hillsborough/Mantee/Polk)Job Description:LTSS Service Coordinator (Bilingual in Spanish/English)Sign on Bonus: $1500.00Schedule: Monday-Friday 8am-5pm ESTLocation: This is primarily a field based position. Candida...

Employment Type:Full timeShift:Day ShiftDescription:POSITION PURPOSEProvides consultation leadership and managerial direction to the reimbursement function for multiple RHMs exceeding $600 million in net revenue. Manages net revenue calculations filing cost reports third-party and year end audits an...

The Clinical Documentation Integrity (CDI) Specialist is responsible for reviewing clinical documentation to ensure it accurately completely and consistently reflects the patients clinical condition severity of illness (SOI) risk of mortality (ROM) and care provided. The role supports compliant docu...

Current University of Arkansas System employees including student employees and graduate assistants need to log in to Workday via then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply...

Department OverviewThe OHSU Office of the Provost provides strategic and operational oversight of all academic matters programming and other activities pertaining to the academic standards and mission of OHSU. The Office of the Provost is the headquarters to five campuses three regional campuses and...

Job SummaryReporting to the Senior Associate Vice President for Enrollment Management the Orientation Program Coordinator will lead the coordination of transition programs for first-year and transfer students with specific focus on orientation planning and student leader development. The Coordinator...

Current Employees: If you are currently employed at any of the Universities of Wisconsin log in to Workday to apply through the internal application process.Job Category:Academic StaffEmployment Type:RegularJob Profile:Cooperative Edu Prog CoordJob Summary:The Program Coordinator plays a key role in...

Who We AreThrough our service brands Hyundai Motor Finance Genesis Finance and Kia Finance Hyundai Capital America offers a wide range of financial products tailored to meet the needs of Hyundai Genesis and Kia customers and dealerships. We provide vehicle financing leasing subscription and insuranc...

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solut...

Our vision is to transform how the world uses information to enrich life for all. Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence inspiring the world to learn communicate and advance faster than ever.E...

Job SummaryReporting to the Senior Associate Vice President for Enrollment Management the Resource and Operations Analyst provides comprehensive support in budget operations human resources and project management. This role serves as a central resource for Enrollment Management units overseeing fisc...

About UsAt Cooper University Health Care our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities equipment technologies and research protocols....

About JLG an Oshkosh companyJLG began in 1969 when our founder John L. Grove set out to resolve growing safety concerns in the construction industry. Since then we have been committed to understanding the challenges and delivering innovative solutions to the access market. We partner with customers...

This position would support both OU campuses. Manage ACA compliance data and ensure accurate and timely reporting. Act as a crucial link between payroll HR and IT departments playing a key role in ensuring the accuracy efficiency and compliance of the organizations payroll and timekeeping systems an...

OverviewSupervises the daily functions of the set up account managers and underwriting staff. Effectively explains to the department staff how to open process and underwrite loans in accordance with company policies and procedures. Assists with staffs training. PRMG offers a comprehensive benefits p...

DescriptionHealthPartners is seeking a dynamic and experienced Clinical Logistics Manager (RN) to lead our Centralized Hospital Operations team. This is an exciting opportunity for a passionate nursing leader to shape the future of virtual care delivery drive clinical excellence and make a meaningfu...

Employment Type:Full timeShift:Day ShiftDescription:Manager Center for Innovation and LearningOverviewSaint Francis Hospital is seeking an experienced forward-thinking Manager Center for Innovation and Learning to lead our simulation training and educational technology operations. This role oversees...

Role SummaryWe are seeking a dynamic and strategic Senior Medical Director Clinical Development to join our Clinical Development team. This critical leadership role will provide clinical direction across one or more programs in early and/or late-stage development while also representing Clinical Dev...

As a Health Services Coding Analyst you will provide clinical leadership and subject-matter expertise to support the analysis configuration and administration of complex medical policy content within claims processing systems including Plan General Exclusion (PGE) rules and FACETS table maintenance....

As a Health Services Coding Analyst you will provide clinical leadership and subject-matter expertise to support the analysis configuration and administration of complex medical policy content within claims processing systems including Plan General Exclusion (PGE) rules and FACETS table maintenance....