Utilization Management Jobs in USA

OverviewThe Senior Medical Director Global Medical Affairs (Virology and Rare Diseases) provides global medical/scientific leadership for assigned assets serving as a subject matter expert and strategic partner across cross-functional teams. This is a global individual contributor role with asset-le...

Medical Director (DVM) Chaska MNA well-established small animal practice in Chaska MN is seeking a Medical Director to guide its clinical team and support the continued advancement of patient care. This role is ideal for a veterinarian who enjoys leading others fostering collaboration and setting m...

University of Colorado Anschutz Medical CampusDepartment:Pediatrics - CardiologyJob Title: Medical Director - Cardiac Progressive Care UnitPosition #: Requisition #:38718Job Summary:The Medical Director of the Cardiac Progressive Care Unit will provide strategic and operational medical leadership...

Medical Director (DVM) Cisco TXA progressive mixed-animal practice in Cisco Texas is seeking aMedical Director to lead a dedicated clinical team and guide the delivery of high-quality compassionate care. This is an exceptional opportunity for an experienced veterinarian ready to combine hands-on me...

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...

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: 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...

OverviewCommunity Focused. Care Driven.Join Southcoast Health where your future is as promising as the care we provide. Our commitment to each other our patients and our community is more than a mission - its our way of life and youll be at the heart of it.Southcoast Health is a not-for-profit chari...

OverviewCommunity Focused. Care Driven.Join Southcoast Health where your future is as promising as the care we provide. Our commitment to each other our patients and our community is more than a mission - its our way of life and youll be at the heart of it.Southcoast Health is a not-for-profit chari...

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...

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...

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...

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...

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...

All about usYou likely know us as an insurance company but thats just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. Its a mission we take seriously.We also work with entities throughout the state to c...

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...