Utilization Review Jobs in USA

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...

Location: Tallahassee Florida Position Title: Case Manager RN Position Type: Permanent / Contingent Available Shift Evening Shift: 12:00 PM 8:30 PM EST Schedule: 1 weekend per 4-week cycle Job Summary We are seeking an experienced Case Manager RN to join a 288-bed acute care setting serving Le...

Job Summary The Therapy Center Manager is responsible for overseeing the daily operations of the therapy center while managing a full patient caseload. This role ensures compliance with all operational clinical and regulatory policies; oversees financial performance; and leads local sales and market...

Job Summary The Therapy Center Manager is responsible for overseeing the daily operations of the therapy center while managing a full patient caseload. This role ensures compliance with all operational clinical and regulatory policies; oversees financial performance; and leads local sales and market...

Job Summary The Therapy Center Manager is responsible for overseeing the daily operations of the therapy center while managing a full patient caseload. This role ensures compliance with all operational clinical and regulatory policies; oversees financial performance; and leads local sales and market...

DescriptionYour experience mattersAt Sycamore Springswe are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll support those that are in our facilities who are interfacing and pr...

Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striv...

Thank you for considering a career at Ensemble Health Partners!Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a co...

Thank you for considering a career at Ensemble Health Partners!Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a co...

Saratoga Medical is hiring a Community Outreach Workerin Remote (Pennsylvania Only). Package includes competitive rate paid time off and benefit options.Saratoga Medical has an exciting opportunity for a Community Outreach Worker at Remote (Pennsylvania Only). This is a great full-time opportunity....

Job TitleProgram Coordinator II (JED)AgencyPrairie View A&M UniversityDepartmentHealth ServicesProposed Minimum SalaryCommensurateJob LocationPrairie View TexasJob TypeStaffJob DescriptionThe Program Coordinator II JED Campus Implementation position will be responsible for providing support to coord...

Full-timeDescriptionSalary will be $51000 per yearFull-time position including insurance and time off benefitsEasterseals Florida is seeking a Bilingual Program Support Specialist for our Incredible Years Program. This role is perfect for someone who enjoys working with families coordinating communi...