Utilization Management Jobs in USA

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-...

Anticipated End Date:Position Title:Associate Medical Director- Orthopedic Spine SurgeryJob Description:Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementOrthopedic Spine SurgeryVirtual: This role enables associates to work virtually full-time with the exception of req...

Location: Oak Ridge TNJob Title: RadCon Field Operations ManagerCareer Level:Senior ManagerJob Specialty: Health PhysicsWhat Youll Do Radiological Control Field Operations Manager is responsible for managing the Field Operations Department and all aspects of the field deployed radiological control f...

About OssiumOssiums mission is to improve the health vitality and longevity of human beings through bioengineering. We develop manufacture and bank cell therapy products that apply the power of stem cell science to revolutionize treatment for patients with blood immune and orthopedic diseases. At Os...

At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are our expertise in Innovative Medicine and MedTech we are unique...

Who We AreWeber Shandwick is more than a leading global PR agency were an engagement agency and were working in and around the cutting edge of the new media landscape. Were storytellers content creators and we engage people IN the story. Our success is built on a deep commitment to client service a...

Veterinary Medical Director Beaumont CAAn established small animal hospital is seeking a Veterinary Medical Director to lead a collaborative clinical team while delivering high-quality patient care. This is an excellent opportunity for an experienced veterinarian ready to step into a leadership rol...

Medical Director opportunity in Bellingham WAGreat opportunity to lead a team of 25 physicians and 7 advanced practice providers (APPs) in Bellingham WA. Work alongside associate medical directors clinical performance nurses program manager & coordinator.Position Highlights:Provide high-quality comp...

Join us as a Medical Director at VCA Cedar Animal Hospital and youll quickly discover that youre supported by world-class medicine advanced technology modern facilities and a talented collaborative this leadership role youll have the opportunity to guide medical standards mentor doctors and partner...

Anticipated End Date:Position Title:Medical Director- CareBridgeJob Description:Medical Director- CareBridge Location: 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 promote...

Opportunity DetailsInpatient Psychiatrist Medical Director/Chief Medical Officer - Temple TXCanyon Creek Behavioral Health is your opportunity to make a meaningful impact on the mental health of our community. Located in the heart of Temple Texas our state-of-the-art facility opened in November 2020...

Tidewell Hospice a member of Empath Health is seeking an Associate Medical Director to provide clinical leadership and ensure the highest standards of hospice and palliative this role you will guide the medical management of patients with advanced illness support interdisciplinary teams and uphold...

DescriptionCenturion Health is proud to be the provider of healthcare services to the Illinois Department of Corrections.We are currently seeking a full-time Site Medical Director to join our team at Vienna Correctional Center located in Vienna Illinois. The Medical Director provides the clinical di...

Medical Director (DVM) San Rafael CAA growing veterinary team is seeking an experienced Veterinarian to serve in a medical leadership role. This position provides the chance to guide a team develop medical protocols and contribute to high-quality patient care while enjoying professional autonomy an...

Medical Director (DVM) Alamogordo NMAn established small animal practice is seeking a Medical Director to lead its clinical team while continuing to practice high-quality veterinary medicine. This role combines hands-on patient care with medical leadership responsibilities offering the opportunity...