Utilization Management Jobs in USA

About Blue Cross and Blue Shield of MinnesotaAt Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate...

DescriptionThe Case Manager directs the utilization review of patient charts treatment plans and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of information pertaining specifically to t...

Embrace U is an evidence-based mental health provider offering group therapy including Intensive Outpatient Programs (IOP) and Partial Hospitalization Programs (PHP) designed for adolescents ages 10-18.Salary: Up to $110000 based on experiencePatient Population: Adolescents ages 10-18Location: Onsit...

OverviewHospital Name: UF Health Rehabilitation Hospital - NorthAffiliation with Select MedicalPosition: Director of Case ManagementLocation: Jacksonville FLSchedule: Full-timeOur Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate care to best address the medic...

SummaryThe Deputy Chief of Staffs responsibilities include overseeing Clinical Service Departments in the hospital serving as the lead physician during absence of the Chief of Staff. The incumbent will work with the clinical service chiefs and related staff to improve processes to meet the performan...

Overview:**5000 Net Sign-on Bonus**40 hours per week Monday - Friday 8am - 5pmSalaried Nursing position. Full-time benefits.Family Experience: For Kids Website: Job Description Summary:Ensures the provision of quality patient care in the appropriate setting through care coordination case management...

Hi were Oscar. Were hiring a Senior UM Review Nurse to join our Utilization Review team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we...

What Will Your Job Look LikeThe Strategic Rideshare Specialist will focus on supporting the companys Independent Driver Providers (IDPs) starting from sourcing through the onboarding training processes corrective action and offboarding for their respective market. The Strategic Rideshare Specialist...

SummaryThe 2-page Resume requirement does not apply to this occupational series. For more information refer to Required Documents below.Recruitment Incentive (Sign-on Bonus): Approved for highly competitive applicants.Education Debt Reduction Program (Student Loan Repayment): APPROVED! Learn more.Pa...

SummaryThe Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach to receiving triaging and directing timely coordinated care. The CC Coordinator supports the medical centers mission to improve timely access to care ensure Veterans who want to recei...

SummaryThis Community Care Coordinator Registered Nurse position is located in the Community Care Service at the Providence location. This position is full-time at 40 hours per week.Duties The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streaml...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis Valeris revolutionizes the path from life sciences innovation to real-life impact to build a world...

SummaryThe Battle Creek VA Medical Center is looking for a Psychiatrist to serve as their Chief of Psychiatry on a 120 day detail during their recruitment efforts to fill the vacancy. Mileage Lodging and Per Diem may be provided- dependent on selected applicants current location.Detail could be shor...

SummaryThe Administrative Officer position is located in Prosthetics & Sensory Aids Service at the Charles George VAMC in Asheville NC.The Administrative Officer in Prosthetics & Sensory Aids Service Line (PSAS) participates in the overall decision making policy development and planning for the mana...

Employment Status:Full timeShift:Day/Evening (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R146802 RN Case Manager - Emergency Department (Open) How Youll Help Transform Healthcare:Monday - Friday 8am-4:30pmThe RN Case Manager provides case management...

SummaryThe Nurse IV Chief Nurse executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross services and/or discipline lines and influence the organizational healthcare mission.Duties...

Why work for Nebraska Methodist Health SystemAt Nebraska Methodist Health System we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to set us apart. Its helping families grow by making each del...

SummaryCorrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities.DutiesPerforms duties consistent with the coordination of approved drug abuse programs including Non-residential Drug Abuse Treatm...

SummaryCorrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities.DutiesPerforms duties consistent with the coordination of approved drug abuse programs including Non-residential Drug Abuse Treatm...

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:Academic Program ManagerJob Summary:Working with the Russian Flagships leadership...