Utilization Management Jobs in USA

OverviewUF Health Rehabilitation Hospital NorthAffiliation with Select MedicalPosition: Discharge Planner / Case ManagerLocation: Jacksonville FLSchedule: Full-timeOur Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate care to best address the medical physical...

OverviewHospital Name: Select Rehabilitation Hospital of DentonJoint venture/Partnership/Affiliation with Select MedicalPosition: Case ManagerLocation: Denton TXSchedule: Full Time - 8 Hour Shifts - Monday-FridayOur Inpatient Rehabilitation Hospital is committed to providing exceptional and compassi...

OverviewHospital Name: HonorHealth Rehabilitation HospitalJoint venture with Select MedicalPosition: Director of Case ManagementLocation: Scottsdale AZSchedule: Full-time Monday - Friday onsitePrevious case manager and supervisory experience in a hospital setting required.Our Inpatient Rehabilitatio...

OverviewOhioHealth Rehabilitation HospitalJoint venture with Select MedicalPosition: RN Case Manager PRN (RN or MSW)Location: Columbus OH$40.00 per hourBenefits of becoming a Case Manager with us:Manageable case loadsImpact on patients recovery process and quality of lifeHigh success rate of patient...

Job Description SummaryThe Clinical Strategy Program Manager supports the organizations clinical strategy program by managing data processes communications and performance monitoring that enable evidence-based cost-effective product and service decisions. This role serves as the central operational...

POSITION SUMMARY:The UM/CM RN will be responsible for review of potential transfers to the BMC System for tertiary care in conjunction with the multidisciplinary care team utilizing medical necessity screening tools to complete initial and continued stay reviews in determining appropriate level of p...

The UM RN will be responsible for review of potential transfers to the BMC System for tertiary care in conjunction with the multidisciplinary care team utilizing medical necessity screening tools to complete initial and continued stay reviews in determining appropriate level of patient care appropri...

Hours:Shift Start Time:8 AMShift End Time:5 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$25.550 - $31.860 - $35.680The stated pay scale reflects the range that Sharp reasona...

Hours:Shift Start Time:8 AMShift End Time:5 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$39.690 - $51.220 - $57.370The stated pay scale reflects the range that Sharp reasona...

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experi...

OverviewYou Matter Here!Heywood Healthcare values our employees! We offer competitive wages great benefits and generous earned time off. Come work where you will matter!Hours: 32-Hours Days Monday through Friday$38.00 - $57.48ResponsibilitiesEssential Functions:Utilization Management- Utilization Re...

Psychiatric Mental Health Nurse PractitionerFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient patient-centered medical homes medication-assisted tre...

Psychiatric Mental Health Nurse PractitionerFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient patient-centered medical homes medication-assisted tre...

Psychiatric Mental Health Nurse Practitioner (Crisis / OSC Expedited Care)Community Bridges INCFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient pat...

DescriptionMEDICAL CODING MODERNIZATION SPECIALISTCLINICAL DOCUMENTATION IMPROVEMENT SPECIALISTON-SITEABOUT US:Laredo Technical Services Inc. provides staffing services to federal Government agencies all over the world. LTSI connects the right people to the right opportunity. With our experience in...

Psychiatric Mental Health Nurse Practitioner (Crisis / OSC Expedited Care)Community Bridges INCFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient pat...

The OpportunityThe Department of City and Regional Planning (CRP) is seeking a Finance and Program Coordinator to serve as a key member of our collaborative high-performing administrative team.This is a highly visible public-facing role supporting students faculty staff alumni and guest speakers. T...

DescriptionThe Engaging Ethics ProgramJob DescriptionSpring 2026 Student Exhibit CoordinatorsFor a February 2026 Touchstones for Character Photography ExhibitMade possible by an Educating Character Initiative Grant from Wake Forest University & the Lilly Foundation Inc.2025-2028Salem Colleges Engagi...

At Heartland Family Service we are committed to building a culture that is trauma informed and values and celebrates diversity and inclusion. We believe this allows for better service delivery and innovation as it encourages our employees to bring various experiences and uniqueness to the workplace....

The Clinical Finance Office seeks a Dental Financial Coordinator to oversee the workflow of dental clinical finances related to state Medicaid/Medicare programs including MassHealth and other identified programs administered by Dentaquest and Skygen/Scion. The incumbent will assist the Billing and C...