Utilization Review Jobs in USA

At The CORE Institute we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:Competitive Health & Welfare BenefitsMonthly $43 stipend to use toward ancillary benefitsHSA with qualifying HDHP plans with company match401k plan with c...

Title: Human Services Program Coordinator - SNP SpecialistState Role Title:Prog Admin Specialist IIHiring Range: $77263 - $86980Pay Band: 5Agency: Virginia Department of HealthLocation:VDH-Central OfficeAgency Website: Type: General Public - GJob DutiesThis is a restricted position which is funded b...

OverviewPosition: Violence Prevention Program CoordinatorDepartment: Reading CorpsAvailability of Position: ImmediateSchedule: Full time M-F 8am-4:30pm; evenings/weekends when necessaryReporting Relationship: Corps Commanding Officers and Violence Prevention Program Director (VPPD)Salary/Grade: $20....

JOB SUMMARYProvides administrative oversight for the outreach implementation and management functions for assigned program.ESSENTIAL FUNCTIONSAssist with planning organizing developing and facilitating assigned programs and events.Assist with the formation of partnerships with business industry comm...

Classification Title:CPET Program Coordinator (OPS Student Assistant)Job Description:The UF Center for Precollegiate Education and Training (CPET) is seeking a motivated and enthusiastic graduate student to join our dynamic team as a Program Coordinator for our summer program. This role offers a uni...

The Physician Relations Program Coordinator III provides high-level administrative and operational support for the Physician Relations team. This role serves as a central hub for the department overseeing complex scheduling CRM data integrity and the logistics of regional and national conferences. A...

DescriptionRecognized by Newsweek in 2024 and 2025 as one of Americas Greatest Workplaces for DiversityGrow your career with Brookdale! Our Clare Bridge Program Coordinators have opportunities for advancement by exploring a new career in positions such as Clare Bridge Program Managers Resident Progr...

JOB POSTING:The Flourishing Families Coordinator provides daily oversight supervision and coordination of care to the program. This position provides therapy to a specialized population parenting women with a substance use disorder her children and identified supports. This position supervises staf...

Job Description SummaryDepartment - Conservation Lands and ResourcesJob DescriptionOPEN TO CURRENT PIMA COUNTY EMPLOYEES ONLYJob Type: ClassifiedJob Classification: 5550 - Natural Resources Program CoordinatorSalary Grade: 11Pay RangeHiring Range: $54891 - $65873 AnnuallyPay Range: $54891 - $76856 A...

OverviewPosition: Residential Program Coordinator for DDP Philadelphia CountyDepartment: Developmental Disabilities Program Philadelphia Availability of Position: ImmediatelySchedule: Full time hours vary on-call responsibilitiesReporting Relationship: Program Director for DDP Philadelphia CountySal...

DescriptionHealthPartners is hiring a UM Regulator and Compliance Analyst. This position provides support and coordination for the Utilization Management Department in maintaining a constant state of readiness for and compliance with regulatory and accreditation requirements. This includes organizin...

DescriptionHealthPartners is hiring an RN Supervisor Utilization Management Prior Authorization Program. This position exists to provide supervision to and performance management of clinical review staff in alignment with HealthPartners leadership characteristics.POSITION PURPOSE:Provide supervision...

Description01376 House Supervisor Non-Exempt This position provides off hour leadership and functions as resource person for staff members assists in patient care and is responsible for overall quality of patient care in the facility. Reports to: Senior Nursing Officer or Admin on Call FLSA: Non-Exe...

Position TitleSenior Director-Case ManagementWescoe PavilionPosition Summary / Career Interest:The Senior Director of Case Management provides strategic and operational leadership for the Case Management and Continuum of Care services across the organization. This role is responsible for advancing t...

Your Tomorrow is Here!Temple Health is committed to setting new standards for preventing diagnosing and treating major diseases in our community and across the nation. Achieving that goal means investing in our employees success through staff and leadership development. Our recruitment strategy is t...

Join our Mission-Driven 5-time Top Workplace Award Winning OrganizationProgram / Department: Central ConnectionPosition: Triage ManagerEmployment Type:Full-timeLocation: Cincinnati Ohio About UsAt Central C...

OverviewClinical Appeals Analyst (Remote) - FTThe Clinical Appeals Analyst is responsible for assisting the Corporate Director of Appeals Management by conducting a comprehensive analytic review of clinical documentation and complete the appeal process. The Clinical Appeals Analyst will write sound...

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...

DescriptionService Coordinator SupervisorFull-timeIndependence MOJackson County(Hybrid/Remote)**Applicant must live in the service area to be considered**ABOUT USThe Center for Human Services (CHS) has provided exceptional opportunities for individuals with intellectual and developmental disabilitie...

DescriptionService Coordinator SupervisorFull-timeLibertyClay County(Hybrid/Remote)**Applicant must live in the service area to be considered**ABOUT USThe Center for Human Services (CHS) has provided exceptional opportunities for individuals with intellectual and developmental disabilities since 195...