Utilization Management Jobs in USA

The College of Professional and Continuing Studies seeks a Senior Program Coordinator to lead and manage its Energy Education Programs. This position serves as the primary operational and strategic driver for four long-standing nationally recognized programs with more than 70 years of history at the...

The College of Professional and Continuing Studies seeks a Senior Program Coordinator to lead and manage its Energy Education Programs. This position serves as the primary operational and strategic driver for four long-standing nationally recognized programs with more than 70 years of history at the...

Job Posting TitleChief Medical OfficerAgency807 HEALTH CARE AUTHORITYSupervisory OrganizationEGIDJob Posting End Date Refer to the date listed at the top of this posting if available. Continuous if date is blank.Note: Applications will be accepted until 11:59 PM on the day prior to the posting end d...

Job Posting TitleChief Medical OfficerAgency807 HEALTH CARE AUTHORITYSupervisory OrganizationEGIDJob Posting End Date Refer to the date listed at the top of this posting if available. Continuous if date is blank.Note: Applications will be accepted until 11:59 PM on the day prior to the posting end d...

At 2U we are all in on purpose. We are motivated by our mission to make learning limitless and connected by our shared passion to deliver world-class higher education at scale. As the parent company of edX a leading online learning platform 2U powers thousands of higher education offerings from fr...

At 2U we are all in on purpose. We are motivated by our mission to make learning limitless and connected by our shared passion to deliver world-class higher education at scale. As the parent company of edX a leading online learning platform 2U powers thousands of higher education offerings from fr...

Anticipated End Date:Position Title:Nurse Case Manager IIJob Description:Nurse Case Manager II*Ideal candidate must reside and be licensed in Louisiana. (Preferably Shreveport Monroe Alexandria Lake Charles or New Orleans). Willingness to travel to community settings up to 10% of the time or as need...

What to expectThe Utilization Review Clinical Specialist provides timely comprehensive utilization reviews for behavioral health services for Sheppard Pratt patients. Collaborating closely with the Utilization Review team and an interdisciplinary clinical team the specialist conducts medical reviews...

Operations Manager at ABCMake an Impact. Lead with Purpose. Transform Lives.As an Operations Manager at ABC you will take the helm of an ABC facility creating a thriving environment where your team excels families feel supported and children with autism achieve their full potential. This role is mor...

We are seeking a Vice President Youth and Family Integrated Care! Hybrid role OH Join our team! Integrated Services for Behavioral Health (ISBH) is a community-minded forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes...

We are seeking a highly organized analytical and solutions-driven Program Operations & Compliance Coordinator to support the Executive Director across multiple business ventures and community-facing initiatives. This role supports workforce development programs nonprofit initiatives event production...

STRATEGIC BUSINESS AND EXECUTIONLead a team in engaging Walmart field leaders to utilize Red Bulls resources and drive differentiation from competitors.Influence Walmart field leaders to implement additional promotions and programs beyond the foundational plan established by the Home Office aimed at...

STRATEGIC BUSINESS AND EXECUTIONLead a team in engaging Walmart field leaders to utilize Red Bulls resources and drive differentiation from competitors.Influence Walmart field leaders to implement additional promotions and programs beyond the foundational plan established by the Home Office aimed at...

The New York City Department of Correction (DOC) is an integral part of the Citys evolving criminal justice system participating in reform initiatives and strategies aimed to move the city towards a smaller jail system without compromising public safety. The DOC is responsible for maintaining a saf...

The Indiana University Foundations Affinity Giving Team is seeking a new Program Coordinator to support the Black Philanthropy Circle Latino Philanthropy Circle Queer Philanthropy Circle and Womens Philanthropy Leadership Council. Were looking for a true go-gettersomeone who thrives in a dynamic env...

Facilitate track and collaboratively teach the Nursing Residency Program Mentorship Program and CNI Program. Promote a positive environment for learning using various adult learning methods. Stimulate new graduates to enculturate into UMSJMC and their units.Drive positive outcomes related to decreas...

OverviewNaphCare is a medical technology company delivering excellent patient care to our correctional facilities across the United States. Come join our team of over 3000 employees as we continue to grow into the leading vendor of correctional healthcare services.Position Summary:The Utilization Ma...

IntroductionStep into a rewarding opportunity as a Registered Nurse in Utilization Management where your clinical expertise translates into smarter care pathways faster decision-making and measurable outcomes for patients and teams. This multiweek assignment begins on 01/26/2026...

Build your best future with the Johnson Controls teamAs a global leader in smarthealthyand sustainable buildings our mission is to reimagine the performance of buildings to serve peopleplacesand the planet. Join a winning team that enables you to build your best future!Our teams are uniquely positio...

The Field Technical Manager will report to the Distribution Regional Manager. This position is designed to manage the Claims Process with a focus on the technical aspects of the installation of Schluter Systems products and their applications to provide technical support and training to the Sales Te...