Utilization Review Jobs in USA

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...

Its a great time to join the City of Boulder!Application Deadline:January 2 2026Compensation Details:Full Pay Range24.96 - 36.21Generally the hiring range is from the minimum up to 80% of the is a full-time hourly position.Scheduled Weekly Hours:40Benefit Eligibility Group:Seasonal MaxLocate the Be...

ABOUT US: Ethos is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space and our success is driven by a dynamic team passionate about d...

Position SummaryThe RN Care Manager is responsible for the coordination of the patients care and services. Promotes quality care using a collaborative process that coordinates monitors and evaluates services according to the needs of patients. Works together with the patient and family care team pay...

OverviewFred Hutchinson Cancer Center is an independent nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.With a track...

OverviewFred Hutchinson Cancer Center is an independent nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.With a track...

Company DetailsWhy MECAt Midwest Employers Casualty (MEC) we combine the stability of a Fortune 500 company with the agility of an innovative team. We are passionate about improving the quality of life for employees severely injured on the job and helping companies understand and mitigate risk. Our...

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: 8-Hours Mornings Weekends 4 hour shifts on Saturdays and Sundays$38.00 - $57.48 ResponsibilitiesEssential Functions:Utilizat...

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: 8-Hours Mornings Weekends 4 hour shifts on Saturdays and SundaysResponsibilitiesEssential Functions:Utilization Management-...