Utilization Management Jobs in USA

Build programs. Influence leaders. Change how care gets delivered.If youre the kind of leader who thrives on turning complexity into clarity influencing without authority and watching ambitious healthcare initiatives actually come to life this role was built for you.Were looking for a Senior Operat...

Site: Mass General Brigham Health Plan Holding Company Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and com...

Where Youll WorkPenrose - St. Francis Health Services is a full-service 712-bed acute care provider in Colorado Springs comprising Penrose Hospital St. Francis Hospital and St. Francis Hospital - Interquest. Penrose Hospital serves as the anchor hospital of Penrose-St. Francis Health Services with 3...

Hours:Shift Start Time:VariableShift End Time:VariableAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Monday- Thursday 9am start Friday 7am startWeekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$49.700 - $64.130 - $71.820The sta...

Employment Type:Full timeShift:Description:Stroke Coordinator for NeurosciencesPosition Purpose:Responsible for the development and implementation of processes that facilitate patient care care coordination and achieve desired programmatic goals in collaboration with physicians and service line lead...

DescriptionPosition Title:Clinical DirectorLocation:Gilbert ArizonaPosition Type: Full-TimePay Range: $100000-$115000 annuallyMission:The mission of the Clinical Director at ACES is to elevate the standards in the treatment of Autism by managing the effective and efficient implementation of services...

DescriptionPosition Title:Clinical DirectorLocation:Ahwatukee ArizonaPosition Type: Full-TimePay Range: $100000-$115000 annuallyMission:The mission of the Clinical Director at ACES is to elevate the standards in the treatment of Autism by managing the effective and efficient implementation of servic...

OverviewNaphCareis hiring an Accreditation Specialist to join our team of medical professionals in thePueblo County Detention CenterinPueblo Colorado.ay rates range from $17.10-$18.05 per hour. Pay rates range per hour based on employment status site needs licensure and experience. As aCorrectional...

ServiceNow Practice Strategist (HRSD)Why UsNewRocketbrings 20 years of advising and supporting clients in designing implementing and managing AI-enabled digital workflows to improve employee and customer experiences. An Elite ServiceNow Partner and ServiceNow Global Partner Award Winner the Company...

Department:13536 Enterprise Revenue Cycle - Carolinas Medical Center NC Arrival Emergency DepartmentStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Adult ED 40 hours a week 11P-730A every other weekend rotationPay Range$20.40 - $30.60Major Responsibilit...

Employment Type:Full timeShift:Day ShiftDescription:Position Summary and Highlights: Saint Alphonsus is hiring a Utilization Review Manager to lead the Utilization Review Team in Boise Idaho.This role oversees daily utilization review operations serving as the first point of escalation for problem-s...

Discover Your Career at Emory UniversityEmory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the excellence of our academic community.DescriptionDeci...

Employment Type:Part timeShift:Rotating ShiftDescription:Samaritan Hospital is looking for a Part-Time Clinical Dietician to join our dynamic Food and Nutrition Team!If you are a Clinical Dietician ready to take your career to the next level providing high level service to the community in an impact...

Employment Type:Full timeShift:Rotating ShiftDescription:Samaritan Hospital is looking for a Full-Time Clinical Dietician to join our dynamic Food and Nutrition Team!If you are a Clinical Dietician ready to take your career to the next level providing high level service to the community in an impact...

Your Role:Licensed Therapist Required: You must be a licensed therapist to qualify for this positionEvening Hours: The position requires evenings.In-Person Monday to Friday from 11:00 am - 8:00 pm.New Site: The Program Director will help us open and build a new siteThe Company Youll JoinOCD Anxiety...

Employment Status:Full timeShift:Day/Evening (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R152940 RN Case Manager (Open) How Youll Help Transform Healthcare:Monday - Friday 8am-4:30pmThe RN Case Manager provides case management for assigned patient po...

Employment Status:Full timeShift:Day/Evening (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R151615 RN Case Manager - Weekends - Emergency Department (Open) How Youll Help Transform Healthcare:The RN Case Manager provides case management for assigned pa...

Department:Status: Benefits Eligible:YesHours Per Week:20Schedule Details/Additional Information:40 hours per pay period.7:00a-3:30p; 5 8-hour shifts in a two-week pay period (2 shifts one week 3 shifts the following week).Weekends: Every other weekend rotating Saturday/Sunday.Holidays: Rotating Hol...

Professional Services ManagerWhySailPointLove what you do. And love where you do it. Smart people fun culture innovative work beautiful offices oh and everyones really nice. Thats what people say about SailPoint. Were known as the company where everyone wants to work and we have the awards to prove...

DescriptionSUMMARY:The SCSEP Coordinator is directly responsible to the Dean of Community Programs for coordination and implementation of the Senior Community Service Employment Program.DUTIES AND RESPONSIBILITIES:Recruits and selects individuals to fill program positions.Locates orientates and sele...