Utilization Management Jobs in USA

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 dise...

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 dise...

SummaryWe are currently hiring for a Managed Care Coordinator II Utilization Management to join BlueCross BlueShield of South this role as a Managed Care Coordinator II Utilization Management you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria b...

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...

Anticipated End Date:Position Title:LTSS Service Coordinator (Case Manager)Job Description:LTSS Service Coordinator (Case Manager)Candidates should live in one of the following counties: Butler Clermont Clinton Cuyahoga Hamilton or Warren.Location: This field-based role enables associates to primari...

Posting DescriptionPROGRAM/PROJECT COORDINATOR TO THE MIT COMMITTEE ON ANIMAL CARE Division of Comparative Medicine will process all aspects of the protocol review for new protocols renewals procedural addenda and new personnel addenda to extant protocols. This includes evaluating protocol submissio...

OverviewGENERAL SUMMARY OF POSITION: Under the general direction of the Manager or designee the Program Coordinator will be responsible for coordinating assigned program activities. The primary responsibilities of the program coordinator include providing customer service to Medicaid clients to assi...

We seek a research program coordinator / program manager to join the research group of the long-standing Boston University Slone Epidemiology Center. This individual will oversee research programs under the supervision of the Principal Investigator for multiple studies on cognition and brain aging i...

OverviewPOSITION SUMMARY:Under the general supervision of the Director the Senior Program Coordinator provides a full range of advanced level complex support services. This position provides oversight of all activities related to office administration and will lead small projects or subcomponents of...

JLL empowers you to shape a brighter way.Our people at JLL are shaping the future of real estate for a better world by combining world class services advisory and technology for our clients. We are committed to hiring the best most talented people and empowering them to thrive grow meaningful career...

Job Title: Procurement Contract Specialist Job Location: Hazelwood MO Role Type: Contract (6 Months)Description: The Procurement Contract Specialist role is a collaborative and results oriented-role in a wide range of indirect categories to work within our Global Procurement Team. This position will...

We Push the Boundaries of Possibilities for our Communities.Overview of the Position Responsibilities: This position is responsible for the operation planning and daily activities of the installation and repair functions including: management and development of supervisors and technicians quota mana...

Preferred Qualifications Bachelors degree in business administration or a related field.Business-to-Business sales experience including experience using various sales techniques such as Consultative or Solution Based Selling.Proficiency with Salesforce.Job SummaryExceeds sales and profit targets in...

OverviewSomnia Anesthesia Sacramento Area New Leadership Position ACT Model Regional Referral/High-Risk OB Regions Top-Rate HospitalMedical Director of Obstetric Anesthesiology -Stockton CALead a dynamic collegial team of anesthesiologists and parter with Nursing and OB leadership in this regio...

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...

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...

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...

OverviewSomnia Anesthesia Sacramento Area New Leadership Position Regional Referral/High-Risk OB Regions Top-Rate Hospital Medical Director of Obstetric Anesthesiology - Stockton CA $575KLead a dynamic collegial team of anesthesiologists and parter with Nursing and OB leadership in this regiona...

SummaryWe are currently hiring for a Managed Care Coordinator II Utilization Management to join BlueCross BlueShield of South this role as a Managed Care Coordinator II Utilization Management you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria b...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case ManagerFull Time: Monday-Friday 8-5pmSIGN ON BONUS: $5000Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guid...