Utilization Management Jobs in USA

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Director of Case Management$10000 Sign On BonusFull Time: Monday - Friday 8-5pmClinical license as a registered nurse or respiratory therapist or masters in social work and minimum three (3) years of medical case management o...

Its more than a career its a callingMO-SSM Health St. Marys Hospital - St. LouisWorker Type:RegularJob Highlights:Department: Case ManagementSchedule: Full Time Day Shift 40 hours a week. 8am-4:30pm.No Nights No Weekends No CallRequires 3 years RN Licensed Acute Care Experience prefer 1 year RN Case...

AgencyDept of CommerceDivisionDivision of Workforce SolutionsJob Classification TitleProgram Coordinator I (S)Position NumberGradeNC08About UsThe North Carolina Department of Commerce is the states lead agency for economic community and workforce development. The department works with local regional...

Our CompanyResCare Community LivingOverviewOur operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today!ResponsibilitiesProvides...

Job Description SummaryThe Department of Psychiatry & Behavioral Sciences is seeking a Program Coordinator I. This position is assigned to the Brain Stimulation Laboratory for the purpose of assisting coordinating planning and implementing research protocols. This includes but is not limited to subj...

The Alameda Food Bank is searching for a newProgram Coordinator passionate about ending food insecurity in the City of Alameda. With the help of our six (6) full-time team members over 600 dedicated volunteers including a supportive and engaged Board of Directors the Food Bank is seeking a second Pr...

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.Position Title:Outreach Program Coordinator - 0.8 FTEJob Category:Academic StaffEmployment Type:Terminal (Fixed Term)Job Profile:Outreach Progr...

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards as a...

CSUN strives to be a destination workplace where everyone understands that they belong to a community that is vital in advancing student success and providing exemplary service to all stakeholders. We foster an environment of success both for our students and our employees. We have a relentless pass...

description:RN II-Case Management/ Utilization Review (CNA)Assesses appropriateness of admission status and level of care using InterQual criteria. Provides discharge planning services coordinating with patients families and community agencies. Collaborates with medical staff in assuring appropriate...

Skills: Two years case/resource management and utilization management is required Education: New York State RN License Primary Source Verification AHA BLS AHA ACLS (Queens only) Schedule Notes: 9:00 AM-5:30 PM Hours Per Day: 8.00 Hours Per Week 40.00 Department: PROFESSIONAL REV OR...

The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. -This includes data entry processing of...

Job Description:Industry: Healthcare / Health Services - Hospital AdministrationJob Category: Medical / Health - AdministrationCalling All Healthcare Visionaries!Are you a dynamic leader with a passion for transformative healthcare delivery Do you excel at navigating intricate challenges and driving...

Job Title : Program Coordinator Location : Indianapolis IN Job Summary : - Work with the licensing and environmental management team to ensure homes of children affected by lead exposure are safely inspected and repaired. - Report directly to the program manager and coordinate with staff to pro...

Job Description:Industry: Healthcare / Health Services - Nursing / LPNs / LVNsJob Category: Medical / Health - Nurse LeadershipBaylor Scott & White Medical Center - Sunnyvale is an acute care hospital serving the communities in and around Sunnyvale Texas. We strive to make the lives of our patients...

As an Actuary you will support business strategies related to financial risk for your assigned market segments. Evaluate financial risk and competitiveness associated with provider networks premium rate setting risk adjustment methodologies exchanges (public and private) new technology legislative a...

Position Summary We seek to hire a highly motivated and talented individual as a program coordinator specializing in Philadelphias Office of Safe Neighborhoods Incarcerated to Community Crisis Intervention Program (ICCIP) to coordinate program services operational support and community outreach init...

Heres What You Need Associates degree in Nursing required Bachelors degree in Nursing preferred 5 years inpatient clinical nursing experience in an acute hospital setting required and 1 Year Utilization Management experience case management and/or the application of medical necessity criteria pref...

DescriptionCenturion is proud to be the new provider of comprehensive healthcare services to the Illinois Department of Corrections.We are currently seeking a full-time Statewide Medical Director to serve as the clinical leader for our Illinois contract.*Candidates must reside in Illinois.The Statew...

Anticipated End Date:Position Title:Specialist Medical Director - Radiation OncologyJob Description:Clinical Operations Medical Director SpecialistCarelon Medical Benefit ManagementRadiation Oncology Virtual: This role enables associates to work virtually full-time with the exception of required in-...