Utilization Management Jobs in USA

At GSK we have bold ambitions for patients aiming to positively impact the health of 2.5 billion people by the end of the decade. Our R&D focuses on discovering and delivering vaccines and medicines combining our understanding of the immune system with cutting-edge technology to transform peoples li...

City/StateVirginia Beach VAWork ShiftFirst (Days)Overview:IT Specialty Analyst Epic Case Management / Population HealthOverviewThe IT Specialty Analyst Epic Case Management supports optimizes and enhances Epic applications that enable inpatient case management care coordination discharge planning...

Anticipated End Date:Position Title:Healthcare Management Services (HCMS) Director SeniorJob Description:Healthcare Management Services (HCMS) Director SeniorLocation: This role requires associates to be in-office 3days per week fostering collaboration and connectivity while providing flexibility to...

Job Title: RN Case Manager Day Shift (Travel Contract) Location: Hyannis MA 02601 Contract Duration: 13 Weeks Shift: Day Shift (Rotating Days 8:00 AM 4:30 PM) Schedule: Every Other Weekend Rotating Holidays Travel Pay Rate: $2648.50 per weekPosition OverviewNavitas Partners LLC is seeking an expe...

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...

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...

Anticipated End Date:Position Title:Behavioral Health Care Manager IJob Description:Behavioral Health Care Manager I- Behavioral Health Care Manager ILocations: The selected candidate must reside within a reasonable commuting distance of the designated posting location(s): Virginia Indiana Georgia O...

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...

Anticipated End Date:Position Title:Nurse Case Manager IJob Description:Nurse Case Manager I Location: This role enables associates to work virtually full-time except for required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports wor...

Leidos is actively hiring for a TS/SCI cleared Human Geography (HG) Analyst to join our team in St. Louis MO.The successful candidate perform human geography production and provide a broad array of Human Geography products to customers who rely on the accurate and timely delivery of products to supp...

Anticipated End Date:Position Title:Behavioral Health Care Manager IJob Description:This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports work-life i...

Anticipated End Date:Position Title:Senior Health Economist - Managed CareJob Description:Senior Health Economist - Managed CareLocation: This role requires associates to be in-office 1 - 2 days per week fostering collaboration and connectivity while providing flexibility to support productivity and...

Anticipated End Date:Position Title:Medical Management Clinician SeniorJob Description:Medical Management Clinician SeniorLocation: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This app...

Anticipated End Date:Position Title:LTSS Service Coordinator (Case Manager) - Lake CountyJob Description:LTSS Service Coordinator (Case Manager)Location: Seeking candidates located in Lake County Indiana.Please note that per our policy on hybrid/virtual work candidates not within a reasonable commut...

Anticipated End Date:Position Title:Behavioral Health Care Manager IJob Description:JR177525 Behavioral Health Care Manager IThe Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health and substance use disorder inpatient and outpatient benefit...

Anticipated End Date:Position Title:Behavioral Health Care Manager I - AmeribenJob Description:Behavioral Health Care Manager I - AmeribenLocation: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and au...

Anticipated End Date:Position Title:Cost of Care ManagerJob Description:Locations: Waukesha WI Indianapolis IN Wallingford CT Iselin NJ Grand Prairie TX Mason OH Costa Mesa CA St. Louis MOHours: Monday - FridayTravel: This role requires associates to be in-office 1 - 2 days per week fostering collab...

Clinical Pharmacist Client ManagerWork from home within Oregon Washington Idaho or UtahBuild a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.Who We Are Looking For:Every day Cambias dedicated team of Pharmacists are living our mission...

The University of Nevada Reno (UNR) appreciates your interest in employment at our growing institution. We want your application process to go smoothly and quickly. Final applications must be submitted prior to the close of the recruitment.If you need assistance or have questions regarding the appli...