Utilization Review Jobs in USA

JOB DEFINITION:Work with the CN Guidance Forensic ACT Team to deliver services to those individuals who are diagnosed with severe mental illness and whose needs have not been met by more traditional service delivery approaches.EDUCATIONAL REQUIREMENTS:A bachelors degree in a related field.EXPERIENCE...

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 Mercy Health!Scheduled Weekly Hours:40Work Shift:Days/Afternoons (United States of America)Primary Function/General Purpose of PositionThe RN Navigator provides essential support to patients by guiding them through the healthcare system ensuring they have access...

Remove before posting:Position Family: Provider Wage Range: $92684.80 - $129750.40 annualWho We Are:SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive exceptional care. Patient-centered whole-person care. Our unique full scope team-bas...

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...

About KariusKarius is a venture-backed life science startup focused on transforming the way infectious diseases are diagnosed. Combining Next-Generation Sequencing and proprietary data analysis we can identify over 1000 pathogens from a single blood sample with typical turnaround time in one busines...

About KariusKarius is a venture-backed life science startup focused on transforming the way infectious diseases are diagnosed. Combining Next-Generation Sequencing and proprietary data analysis we can identify over 1000 pathogens from a single blood sample with typical turnaround time in one busines...

DescriptionThis recruitment will remain open untilFebruary 16 2026. The agency reserves the right to make a hiring decision at any time after theinitialscreening date onJanuary 23 2026. It is in the applicants best interest tosubmitmaterials as soon as possible.Make a Difference: Protect Consumers &...

DescriptionFull time (40 hours weekly) M-F Flex option of 6a-2:30p 6:30a-3p 7a-3:30p 7:30a-4p 8a-4:30p or 8:30a-5pPosition Function: Under the direction of the Assistant Patient Account Manager is responsible for the billing of Medicare Medical Assistance Blue Cross Highmark Blue Shield Tricare com...

Job Posting TitleChief Medical OfficerAgency807 HEALTH CARE AUTHORITYSupervisory OrganizationEGIDJob Posting End Date Refer to the date listed at the top of this posting if available. Continuous if date is blank.Note: Applications will be accepted until 11:59 PM on the day prior to the posting end d...

Job Posting TitleChief Medical OfficerAgency807 HEALTH CARE AUTHORITYSupervisory OrganizationEGIDJob Posting End Date Refer to the date listed at the top of this posting if available. Continuous if date is blank.Note: Applications will be accepted until 11:59 PM on the day prior to the posting end d...

Position/Program InformationEXAM NUMBERY9197E-EATYPE OF RECRUITMENTOPEN COMPETITIVE -EMERGENCYAPPLICATION DATEJanuary 15 2026 at 12:30 p.m. (PT)This opportunity will remain open until the needs of the services are met and is subject to closure without prior notice.NO OUT-OF-CLASS EXPERIENCE OR WITHH...

We are seeking a highly organized analytical and solutions-driven Program Operations & Compliance Coordinator to support the Executive Director across multiple business ventures and community-facing initiatives. This role supports workforce development programs nonprofit initiatives event production...

The New York City Department of Correction (DOC) is an integral part of the Citys evolving criminal justice system participating in reform initiatives and strategies aimed to move the city towards a smaller jail system without compromising public safety. The DOC is responsible for maintaining a saf...

The Indiana University Foundations Affinity Giving Team is seeking a new Program Coordinator to support the Black Philanthropy Circle Latino Philanthropy Circle Queer Philanthropy Circle and Womens Philanthropy Leadership Council. Were looking for a true go-gettersomeone who thrives in a dynamic env...

Facilitate track and collaboratively teach the Nursing Residency Program Mentorship Program and CNI Program. Promote a positive environment for learning using various adult learning methods. Stimulate new graduates to enculturate into UMSJMC and their units.Drive positive outcomes related to decreas...

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...

Open: January 12 2026Close: January 26 2026Job Title: program coordinatorDepartment: funeralReports To: funeral DirectorHours: 40 Hrs/Wk Full TimeSalary: Based on Salary MatrixBenefits Requisition: 840 *Salaries are market competitive. For accurate salary information call or email The Puyallup...

DescriptionOrganization SummaryThe LA Conservation Corps (the Corps) is a private non-profit organization that has helped at-risk young adults develop themselves since 1986. To date more than 20000 young people have participated in the Corps classes and service projects learning new skills while con...

The Clinical Finance Office seeks a Dental Financial Coordinator to oversee the workflow of dental clinical finances related to state Medicaid/Medicare programs including MassHealth and other identified programs administered by Dentaquest and Skygen/Scion. The incumbent will assist the Billing and C...