Utilization Review Jobs in USA

Position SummarySupport the project activities and provide administrative and clerical support to the Spelman Innovation Lab. This position is responsible for overseeing the day-to-day administration of the Innovation Lab (IL) and its programs projects and services.Essential Duties And Responsibilit...

DescriptionJob SummaryManages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional...

Make it happen at HopkinsNo holidays or weekends! Monday-Friday 8:30a-5:00p On-siteJohns Hopkins Medicine a nonprofit combines over 125 years of commitment to community care with groundbreaking research teaching and medical services to patients Hopkins Medicine operates six academic and community h...

What Awaits You:Opportunities for Career Growth Build a meaningful career with access to professional development mentorship and advancement pathways.Collaborative and Inclusive Environment Work alongside a diverse team of professionals who value mutual respect innovation and teamwork.Comprehensiv...

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...

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

DescriptionYour experience mattersMesa Springs is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As aPHP Therapist joining our team y...

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

Anticipated End Date:Position Title:Medical Management Clinician Associate-Licensed NurseJob Description:Medical Management Clinician Associate-Licensed NurseLocation: Tampa FL or Miami FLVirtual: This role enables associates to work virtually full-time with the exception of required in-person train...

Thank you for considering a career at Bon Secours Mercy Health!Scheduled Weekly Hours:0.01Work Shift:Days (United States of America)*PRN part timeBon SecoursAbout UsAs a faith-based and patient-focused organization Bon Secours exists to enhance the health and well-being of all people in mind body an...

DescriptionYour experience mattersCarrollton Springs is part of Lifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Office Coordinator joini...

About CurativeCurative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at...

Job Description: Summary:This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls creating...

Job Description: Summary:This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls creating...

The State of Montanas Department of Natural Resources and Conservation (DNRC) is seeking two dedicated and insightful Compliance Technician 1s to join our team. Compliance Technicians play a vital role in executing procedures and tasks critical to managing Montanas water resources and supports the D...

MUST HAVE ACTIVE ALASKA LICENSE AT TIME OF SUBMISSION Flu vaccine required Experience Required 8 years clinical care or nursing experience 3 years of which should be in chart review risk management or related quality service Case Management certification by recognized certifying organization (...

MUST HAVE ACTIVE ALASKA LICENSE AT TIME OF SUBMISSION Flu vaccine required Experience Required 8 years clinical care or nursing experience 3 years of which should be in chart review risk management or related quality service Case Management certification by recognized certifying organization (...

MUST HAVE ACTIVE ALASKA LICENSE AT TIME OF SUBMISSION Flu vaccine required Experience Required 8 years clinical care or nursing experience 3 years of which should be in chart review risk management or related quality service Case Management certification by recognized certifying organization (...

Occupational Therapist Assistant Duties include Utilizes evidence-based practice to support clinical interventions. Provides rehabilitative skilled and medically necessary treatment intervention to patients with cognitive and/or physical functioning disorders per regulatory and clinical practice r...

DescriptionWho we areFounded in 1999 and headquartered in Central Ohio were a privately-owned independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone and were on a mission to make healthcare simpler and more effective...