Utilization Management Jobs in USA

The Business Project Senior Advisor will report to the Cigna Pharmacy Business UM Operationalization team and play a critical role in leading and supporting high-profile initiatives and complex issue resolution. This role requires deep expertise in pharmacy and medical claims prior authorization (PA...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Director of Case ManagementSalary Is Based On Prior Years of Relevant Experience: $85-$115000$10000 Sign On BonusFull Time: Monday - Friday 8-5pmClinical license as a registered nurse or respiratory therapist or masters in so...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case Manager (PRN)Social Work OnlyPrevious discharge planning experience highly preferred.SHIFT:*Availability to work a minimum of 2 shifts per month on an as needed basis - shifts would be scheduled on weekdays from appoxima...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case Manager (PRN)Licensed Social Work OnlyPrevious discharge planning experience highly preferred.SHIFT:*Availability to work a minimum of 2 shifts per month on an as needed basis - shifts would be scheduled on weekdays from...

Department: NursingReports To: RN Nurse Supervisor/Unit Manager/ADON/ADON-Unit/Center Nurse ExecutiveSummary: Under the direction of the RN Nursing Supervisor Unit ManagerADON or ADON Unit or Center Nurse Executive (Nurse Leader) the Registered Nurse (RN)delivers efficient and effective nursing car...

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...

ABOUT THE POSITIONThe Riverside University Health System (RUHS) - Medical Center is currently recruiting for a Per Diem Registered Nurse III MC/CHC (Case Manager) to join our Integrated Care Management Department located in Moreno Valley.We are seeking an experienced Registered Nurse (RN) Case Manag...

Job Title: Product Owner: AdmissionCareCompany Name: EvidenceCareLocation: Nashville TN (preferred)Position Type: Full Time Pay: Salary Reports to: VP of Product Company OverviewEvidenceCare is a fast-paced fun-filled tech company scaling their market share with innovative healthcare prod...

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

Its more than a career its a calling.OK-SSM Health St. Anthony Hospital - Oklahoma CityWorker Type:RegularJob Summary:Assesses develops plans implements and evaluates patients discharge planning needs to next level of care in collaboration with interdisciplinary team.Job Responsibilities and Require...

WHO WE ARE:24 Hour Home Care is a trusted in-home care company committed to making a positive impact in peoples lives every day. For more than 15 years it has delivered high-quality and personalized caregiving services to people of all ages and individuals with developmental and intellectual disabil...

Discover Your Career at Emory UniversityEmory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the excellence of our academic community.DescriptionThe...

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

DescriptionMonday-Friday 7:00-3:30 No weekends or holidaysAt Childrens the regions only full-service pediatric healthcare center our people make us the very best for kids. Come cultivate your passion purpose and professional development in an environment of excellence and inclusion where team member...

Full-timeDescriptionThe Senior Project Manager is the accountable business and delivery lead for complex design-driven projects across AvroKOs hospitality portfolio. This role sits at the intersection of visionary design client leadership and commercial performance ensuring our work is impeccably ex...

Anticipated End Date:Position Title:LTSS Service Coordinator - Case Manager (Brevard/Orange County FL)Job Description:LTSS Service Coordinator (Bilingual in Spanish/English)Schedule: Monday-Friday 8am-5pmLocation: This is primarily a field based position. Candidate would need to reside in Brevard or...

At MTM we are not just colleagues; we are collaborators on a shared mission;communities without barriers. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation collaboration and growth. If you...

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solut...