Utilization Management Jobs in USA

Medical Director Toledo OHAn established companion animal practice is seeking a Veterinary Medical Director to lead its clinical team while continuing to provide hands-on patient care. This opportunity blends clinical practice with leadership responsibilities in a collaborative environment focused...

About Crossover HealthCrossover Health is creating the future of health as it should be. A national team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care the company delivers an entirely new model of healthcarePrimary Healthbuilt on the foundatio...

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...

Medical Senior DirectorCare Delivery Model and Payment InnovationPosition SummaryThe Medical Senior DirectorCare Delivery Model and Payment Innovationis a senior physician leadership role responsible for reimagining and scaling enterprisepopulation health programsand risk-based care strategieswhile...

Medical Director (DVM) League City TXAn established veterinary hospital is seeking a dedicated Medical Director to lead its clinical team. This opportunity is ideal for a veterinarian who is passionate about delivering high-quality patient care while guiding and supporting a collaborative medical t...

OverviewMedical Director Cardiovascular Service LineStep into a transformational leadership role where your expertise as a practicing physician will define the future of cardiovascular care in the Portland Metro region. This is a unique opportunity to dedicate 40% of your time to strategic administr...

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...

Medical Director Toledo OHAn established companion animal practice is seeking a Veterinary Medical Director to lead its clinical team while continuing to provide hands-on patient care. This opportunity blends clinical practice with leadership responsibilities in a collaborative environment focused...

Medical Director DVM Beaumont CAAn established small animal hospital is seeking a 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 role within a support...

We are recruiting for a Medical Director to join a thriving SA GP hospital located in Newington CT!This is the perfect opportunity for an experienced veterinarian looking to be part of a team working in a family like atmosphere. Ideally this candidate will have surgical skills and a desire to make a...

Location:Calmont Operations BuildingDepartment:UtilizationShift:First Shift (United States of America)Standard Weekly Hours:40Summary:Responsible for the coordination and efficient utilization of health care resources for Cook Childrens Health Plan (CCHP) members. Works with the Department Manager a...

DescriptionThe Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management care coordination resource utilization and clinical documentation. The RN Case Manager will...

Director of Case Management Des Moines IowaThe RN Director of Case Management drives continuous improvement in patient care and services through collaborative patient-centered practices and strong community engagement. This Director of Case Management leader oversees a high-performing team of clinic...

Find your calling at Mercy!The Care Manager as part of the interdisciplinary team assess plans advocates and coordinates care from admission to discharge ensuring a safe transition post hospitalization. Performs duties and responsibilities in a manner consistent with the Mercy mission values and se...

Status: Part-Time Hourly FLSA Classification: Non-ExemptSummary of the Position: Licensed Professional of Healing Arts (LPHA) is responsible for providing individual family and group counseling to youth with serious emotional disturbances and their families.Services provided in a participants home o...

Registered Nurse (RN) Case ManagementLocation: New York NY 10037 Schedule: Monday Friday 9:00 AM 5:30 PM (5x8) Hours: 40 Hours per WeekCompensationTravelers: $2700 per weekLocal Candidates: $2400 per weekPosition OverviewA healthcare facility in New York is seeking an experienced Registered Nurs...

InfosysHelix is seekingaProductManager-HealthcareClinical Lead forthis growing Clinical Lead oversees daytoday operations of utilization management clinical reviews service authorization processes and care management functions for the health plan. This role provides clinical expertise ensures regul...

OverviewHospital Name: UF Health Rehabilitation Hospital - NorthAffiliation with Select MedicalPosition: Case ManagerLocation: Jacksonville FLSchedule:Per Diem Weekday and Weekend shifts availableOur Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate care to be...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of disea...

Status: Full Time Hourly FLSA Classification: Non-ExemptSummary of Position: The Qualified Mental Health Professional Community Services (QMHP-CS) is responsible for providing Targeted Case Management and Rehabilitative Services to youth with serious emotional disturbances and their families.Serv...