Utilization Review Jobs in USA

Anticipated End Date:Position Title:Medical Director- Florida Medicare PlansJob Description:Medical Director- Florida Medicare Plans Location: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonom...

Anticipated End Date:Position Title:Behavioral Health Medical Director- Child PsychiatristJob Description:Behavioral Health Medical Director- Child Psychiatrist Location: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing max...

Anticipated End Date:Position Title:Behavioral Health Medical Director- Child PsychiatristJob Description:Behavioral Health Medical Director- Child Psychiatrist Location: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing max...

OverviewOpportunities for you!Comprehensive relocation package and concierge serviceProgressive sign-on incentive paidover timefor eligible candidatesConsecutively recognized as a top employer by Forbes and in 2025 by NewsweekFree Continuing Education and certification including BLS ACLS and PALSTui...

Department/Unit:Education And DevelopWork Shift:Day (United States of America)Salary Range:$86650.99 - $134309.04Salary range will be prorated based on hours worked.The Education Specialist is expected to utilize their knowledge and skills to accomplish the goals of the organization. The Education S...

At Elara Caring we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals providing the Right Care at the Right Tim...

OverviewBe inspired. Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your care...

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...

Type: Full-time salaried FLSA exemptPay: $80000 - $85000 annually plus bonus potentialLocation: US remote; some evening hours weekend hours and travel are requiredAbout UsSpecialty Care Management (SCM)is a purpose-driven healthcare organization focused on solving one of the most complex and costly...

Anticipated End Date:Position Title:Manager Pharmacy Clinical Operations (Clinical Configuration)Job Description:Title: Manager Pharmacy Clinical Operations (Clinical Configuration)Location(s): Mason OH Cincinnati OHHybrid: This role requires associates to be in-office 3 days per week fostering coll...

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care of assigned patients and associated staff in accordance with physician orders and the plan of care per state Practice this role you will report to the Director of Nursing/Director of Patient Care Servi...

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care of assigned patients and associated staff in accordance with physician orders and the plan of care per state Practice this role you will report to the Director of Nursing/Director of Patient Care Servi...

Anticipated End Date:Position Title:Plan Performance Medical DirectorJob Description:Plan Performance Medical DirectorLocation: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approac...

Anticipated End Date:Position Title:Behavioral Health Medical Director - Psychiatrist AppealsJob Description:Behavioral Health Medical Director-Psychiatrist AppealsLocation: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing...

*PRN Part Time Full Time*Flexible Hours*Weekly Pay***Ready to do what you lovewith more heart more flexibility and more purposeJoin Team Select Home Care as a Registered Nurse (RN) where youll bring comfort and confidence to families by delivering compassionate one-on-one care to medically complex c...

Anticipated End Date:Position Title:Utilization Management Representative IIIJob Description:Title: Utilization Management Representative IIIVirtual: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and...

Key ResponsibilitiesOperate manual and CNC lathes and milling machines to manufacture repair and modify mechanical components such as shafts bushings sleeves keyways housings and fixturesSet up machining operations including tool selection work holding fixturing and alignmentRead and interpret engin...

Job Title: Program Coordinator/Admin Location: Rensselaer NY / Sleepy Hollow NY (4 Days onsite) Duration: 2 years Contract (Long Term) Interview: Video Position Overview: We are seeking a motivated and responsive Program Coordinator to manage various facets of a large Enterprise (Business & IT)...

The San Francisco California Children Services (CCS) Medical Therapy Program (MTP) is a program under Childrens Medical Services (CMS) that provides physical and occupational therapy medical case management and utilization review for specialty medical care to children with certain eligible handicapp...

Group Director of Case Management Full-Time $20000 Sign-On Bonus Eligible Location: Palm Springs CASalary Range: $128960 - $205920 (based on experience) About the Role Envoy Recruitment is seeking an experienced Group Director of Case Management to lead Case Management Social Services and Bed Contr...