Utilization Management Jobs in USA

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...

This is whereyour work makes a difference.At Baxter we believe every personregardless of who they are or where they are fromdeserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater...

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....

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....

The Social Worker LCSW reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.A licensed masters-prepared social worke...

At LinkedIn our approach to flexible work is centered on trust and optimized for culture connection clarity and the evolving needs of our business. The work location of this role is hybrid meaning it will be performed both from home and from a LinkedIn office on select days as determined by the busi...

About Filta Filta and specifically the FiltaClean division specializes in the heavy-duty sanitation and deep cleaning of commercial kitchen environments. We act as an operational partner to business owners by taking on time-intensive maintenance tasks such as specialized fryer management and facili...

About Flagright:Flagright is an AI operating system for financial crime compliance used globally by Fortune 500 companies large banks fintechs and fast growing startups. Flagright enables real-time risk detection automated investigations and intelligent decisioning helping compliance teams operate a...

Meet Leaf Home. We turn complex home improvement projects and endless to-dos into achievements. With more than 50% of homeowners worried about the cost and effort of home maintenance we deliver remarkable end-to-end experiences. And get the job done right at every step. Bringing innovative products...

OverviewBonus Potential! Monthly and Quarterly Bonus Incentives!Are you looking for a physician practice with a family environment but with the benefits and support a large organization can provide Where daily patient care is backed by evidenced based medicine and career options are limitless then l...

May be exposed to unpredictable resident behavior and communicable diseases.The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees as defined in applicable federal law state law and any effective executive order.To request...

Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier com...

DescriptionGeneral SummaryPerforms a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to facilitate a patients progression of care and the provision of appropriate cost effective and quality health care. Works in a team model w...

Anticipated End Date:Position Title:Medical Management Specialist IJob Description:Medical Management Specialist ILocation: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach pr...

Job Type:RegularPlains is an industry-leading transportation and midstream provider specializing in transportation storage processing and marketing solutions for crude oil. We own an extensive network of pipeline transportation terminalling storage and gathering assets in key oil producing basins an...

DescriptionWhy Join UsSign-On Bonus and/or Relocation Reimbursement OfferedCompetitive CompensationComprehensive Medical Dental Vision & Life InsuranceGenerous Paid Time Off & Extended Illness BankMatching 401(k) Retirement PlanOpportunities for Career Grown & AdvancementRecognition & Reward Program...

Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier com...

DescriptionHealthPartnes is hiring an RN Case Manager. This position exists to provide support to patients their families and physicians in addressing medical and social concerns; educate and empower patients and families to make informed personal health care decisions; and facilitate communication...