Utilization Review Jobs in USA

In collaboration with the interdisciplinary team the Case Manager provides care coordination services evaluating options and services required to meet an individuals health care needs to promote cost-effective quality outcomes. Serves as a consultant to members of the health care team in the managem...

Be the Nurse Who Helps Turn Stabilization into RecoveryAt the 16 & Burnside Recovery Center nursing goes beyond tasks and timelines its about being a steady trusted presence at a critical turning point in someones life. As a Residential Care Facility RN youll support individuals transitioning from d...

Position Summary Aspire Health is seeking an experienced Utilization Review Coordinator to support clinical operations through timely accurate review of medical services. This remote position plays a critical role in ensuring care delivery aligns with established medical necessity criteria payer req...

DescriptionYour experience matters:At TGH Behavioral Hospital we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employee but as a person. Joining our team youre embracing a vital mission dedicated to m...

DescriptionYour experience matters:At TGH Behavioral Hospital we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employee but as a person. Joining our team youre embracing a vital mission dedicated to m...

The Program Coordinator of the Center for Lifelong Learning works collaboratively with the Director in fostering and providing an educational environment that promotes personal enrichment for community members of all ages. The Program Coordinator will be the primary student-facing staff member with...

DescriptionJob DescriptionThe Program Coordinator (PC) is part of the core administrative team in the Department of Biological Sciences in the College of Arts and Sciences Division of Natural Sciences at Vanderbilt University and is a manager responsible for administrative graduate program support....

Our CompanyResCare Community LivingOverviewOur operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today!ResponsibilitiesProvides...

OverviewPosition:Fittness and Sports Performance CoordinatorLocation:Canton OHType of Employment:Full-timeSchedule:Monday - Friday (2-3 evenings a week till 7:30pm and some weekends)Compensation:$15.00-$17.00 (pending experience)The Fitness & Sports Performance Program Coordinator is responsible for...

OverviewPosition:Fittness and Sports Performance CoordinatorLocation:Canton OHType of Employment:Full-timeSchedule:Monday - Friday (2-3 evenings a week till 7:30pm and some weekends)Compensation:$15.00-$17.00 (pending experience)The Fitness & Sports Performance Program Coordinator is responsible for...

NeuLife Rehabilitation of Michigan provides rehabilitation and residential services for individuals with Traumatic Brain Injury (TBI) Acquired Brain Injury (ABI) Spinal Cord Injuries and Neurological Disorders. Position Summary: NeuLife Rehabilitation is seeking a compassionate organized and outcome...

Employment Type:Full timeShift:Rotating ShiftDescription:An Opportunity to Join our Remarkable Care Team as aCase Manager in the Case Management Department awaits YOU!!!!Trinity Health Livonia is a beautiful full-service 304-bed acute care hospital located in Livonia MI that provides comprehensive c...

DescriptionThe Supervisor Utilization Management is responsible for the supervision of the FMOLHS Utilization Team which serves infant pediatric adolescent young adult adult and geriatric patients. Is responsible for ensuring compliance with healthcare regulations and providing supervision guidance...

DescriptionTitle: TherapistJob Type: PRNYour experience matters!At Woodland Springs we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employee but as a person.As a PRN Therapist joining our team youre...

Where Youll WorkPenrose-St. Francis Health Services is a full-service 712-bed acute care provider in Colorado Springs comprising Penrose Hospital St. Francis Hospital and St Francis Hospital - Interquest. St. Francis Hospital opened in 2008 to keep pace with the growing needs of the Colorado Springs...

Our mission at Watermark Retirement Communities is to create extraordinary and innovative communities where people thrive. For Watermark community includes more than just the wonderful residents we serve on a daily basis. It also includes our dedicated team of professionals who bring our mission to...

Georgia Spine & Orthopaedics is a Comprehensive Spine and orthopedics care provider in GA. Our locations include Atlanta Columbus Gwinnett Marietta Tucker Stockbridge Dalton Roswell and the Surgery Center of Roswell. We specialize in offering cutting-edge treatment with a conservative approach.We ar...

DescriptionYour experience matters:Mercy Health Behavioral Hospital is operated jointly with Lifepoint Health and Mercy Health. We are driven by a profound commitment to prioritize your wellbeing so you can provide exceptional care to others. As a Chief Financial Officer (CFO) joining our team youre...

Location: Largo MD - OnsiteHours: 8am- 4:30pm rotating weekends and some holidays. General SummaryUnder general supervision provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patients n...

Job Requisition ID:51814Opening Date: 12/29/2025Closing Date: 01/12/2026Agency:Department of Human ServicesClass Title:HABILITATION PROGRAM COORDINATOR - 17960Skill Option:UMP CredentialBilingual Option:NoneSalary: Anticipated Salary: $5637 - $8026 per month ($67644 - $96312 per year)Job Type: Salar...