Utilization Management Jobs in USA

********************************************************* $25K Sign On and $10K Relocation for qualified hire! ************************************************************ Key Essential Functions and Accountabilities of the Job Works collaboratively with consortium wide team supporting inpatient Car...

********************************************************* $25K Sign On and $10K Relocation for qualified hire! ************************************************************ Key Essential Functions and Accountabilities of the Job Works collaboratively with consortium wide team supporting inpatient Car...

Job Description: Job Title: Clinical Review Nurse -Concurrent Review Duration: 6 months (Contract To Hire) Location: Remote - TX Shift Schedule: Tuesday Saturday 8:00 AM 5:00 PM CST (Firm schedule) Position Overview The Clinical Review Nurse Concurrent Review is responsible for perfo...

Duties: Coordinates patients through the acute care hospitalization Manages all aspects of discharge planning/transition process Performs utilization management and quality screenings Skills: 2 years of acute care experience strongly preferred Case Management Managed Care. In Patient Case M...

Job Title: Registered Nurse Case Manager Location: Soldier Readiness Processing Center (SRP) William Beaumont Army Medical Center (WBAMC) 18511 Highlander Medics St Fort Bliss TX 79906 and outlying clinics. Tentative Start Date: 1 April 2026 No. of FTEs Required: 3 FTEs Work Schedule: Monday-Friday...

Job Title: Program Coordinator III Job Location: Woonsocket RI 02895 Job Duration: 6 Months Job Summary: The Coordinator III will work directly with the program manager and pest control analyst to help monitor and manage the pest control work order queue and proposals. The coordinator wil...

Position : Datacentre Operations analyst Location : Richardson TX/Hillsboro OR/Ashburn VA Job Description: Decommissioning Tasks: Prepare specified server nodes and/or chassis for decommissioning and perform other decommissioning-related tasks as per direction.. Breakfix Tickets: Install...

The primary purpose of the Sales Incentive Operations team is to provide centralized support to the Commercial Sales Organization. The Sales Incentive Operations team provides the overall strategy direction operational processes resources and tools that enable the sales team to effectively and effic...

The primary purpose of the Sales Incentive Operations team is to provide centralized support to the Commercial Sales Organization. The Sales Incentive Operations team provides the overall strategy direction operational processes resources and tools that enable the sales team to effectively and effic...

The Senior Medical Director will lead late-stage clinical development programs in Oncology including pivotal Phase III trials and registration studies. Responsibilities include independently contributing to and executing on the clinical strategy serving as Medical Monitor supporting regulatory submi...

The Research Compliance Coordinator reflects the mission vision and values of Northwestern Medicine 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.The Rese...

Description SFE Engineering is seeking an enthusiastic Energy Manager to join our team in Flushing. This full-time on-site position presents a fantastic opportunity for entry-level professionals to dive into the dynamic field of energy management within the Architecture and Planning indu...

Seeking an independent thinker and a highly communicative individual that is adaptable to change with a strong commitment to process and people management. We are revolutionizing the industry and we are seeking like-minded individuals to expand our footprint.RESPONSIBILITIES:Develop project plans wi...

Provides leadership to the global medical function including medical monitoring. Collaborates withGlobal Medical Affairs Leadership on the ongoing development of the Department and contributes to thebusiness plan at both the tactical and strategic levels. Directly and through subordinate staff ensur...

This position is contingent upon the awardInternational Health and Medical Services is looking for an experienced Psychiatrist to provide comprehensive mental health assessments diagnoses and treatment plans for patients ensuring they receive appropriate care. This role involves collaborating with t...

Veterinary Medical Director Full-Time (Folsom / El Dorado Hills / Greater Sacramento CA area) 50% of the time will be spent providing services as a veterinarian Target hiring salary range: $195000 - $245000 plus an exceptional total compensation package! Are you looking for a place where you can liv...

Clinical Review Nurse - Prior Authorization Various NV All On-site Share on Job Description Location: Fully Remote Prefer Candidates reside in NV but cal reside elsewhere if they have a have NV RN License. SHIFT: Training schedule is 3 weeks M-Fri 8AM-5PM PSt time ON CAMERA - NO TIME OFF Work Sch...

Department:11200 Atrium Health Stanly - Case ManagementStatus: Part timeBenefits Eligible:YesHours Per Week:24Schedule Details/Additional Information:Regular Part TimePay Range$35.50 - $53.25Essential FunctionsCoordination with members of the healthcare team and payors to facilitate placement of pat...

Erie Home is hiring a Field Marketing Manager to build coach and lead a team of door-to-door field marketers driving performance and generating leads for industry-leading home improvement solutions that practically sell themselves. Our exclusive roofing systems offer unmatched durability energy eff...

Job DescriptionField Access Manager - Northwest Seattle WA Salt Lake City UT and Sacramento CAThe Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals (HCPs) and healthcare organizations (HCOs) and will work cross-functionally with pati...