Utilization Review Jobs in USA

Title:Special Operations Nurse Case Manager / Case Manager (Hampton Roads VA)THIS POSITION OFFERS RELOCATION.Belong. Connect. Grow. with KBR!KBR is a company of innovators thinkers creators explorers volunteers and dreamers; but we all share one goal: to improve the world responsibly and safely.Wema...

About Childrens MinnesotaChildrens Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children from before birth through young adulthood. An independent and not-for-profit system since 1924 Childrens Mi...

About Childrens MinnesotaChildrens Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children from before birth through young adulthood. An independent and not-for-profit system since 1924 Childrens Mi...

DescriptionBehavioral Health TechnicianJob Type: Full Time DaysYour experience mattersAt Centra Behavioral Health Hospital we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role you...

DescriptionSchedule: Full Time DaysYour experience mattersCentra Behavioral Health Hospital 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 t...

Its a great time to join the City of Boulder!Application Deadline:January 26 2026Compensation Details:Full Pay Range22.98 - 33.32Generally 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 B...

Job TitleSTEAM Studio Program CoordinatorDepartment Regional Online JMWorker TypeTemporary (Fixed Term)Pay TypePeriod Activity PayBenefit EligibleNoJob Description SummaryThe STEAM Studio Program Manager leads the planning and delivery of a vibrant hands-on youth day camp for elementary middle and h...

The Research Program Coordinator is responsible for coordinating program management activities by performing tasks related to data tracking analysis and implementation of results that meet the goals/objectives of the department.OverviewThe Department of Global Pediatric Medicine (GPM) is a growing d...

CodePath is reprogramming higher education to create the first generation of AI-native engineers CTOs and founders.We deliver industry-vetted courses and career support centered on the needs of first-generation and low-income students. Our students train with senior engineers intern at top companies...

CodePath is reprogramming higher education to create the first generation of AI-native engineers CTOs and founders.We deliver industry-vetted courses and career support centered on the needs of first-generation and low-income students. Our students train with senior engineers intern at top companies...

Job Posting TitleProgram/Project CoordinatorAgency805 DEPARTMENT OF REHABILITATION SERVICESSupervisory OrganizationDept Rehabilitation ServicesJob 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...

ESSENTIAL FUNCTIONS: Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patients provider benefits for their needs. Conducts and oversees concurrent and retrospective reviews for all patients. Act as a liaison between Medicaid reviewers and the st...

PRN Registered NurseWe are seeking a skilled and compassionate RN to join our team in delivering high-quality care to patients. This role involves providing direct patient care in a clinic and home health environment. The RN will be responsible for managing clinical cases demonstrating sound clinica...

PRN Registered NurseWe are seeking a skilled and compassionate RN to join our team in delivering high-quality care to patients. This role involves providing direct patient care in a clinic and home health environment. The RN will be responsible for managing clinical cases demonstrating sound clinica...

SummaryActs as Team Lead for specialty programs medical review utilization management and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to staff. Ensures appropriate levels of healthcare services are provided.DescriptionWh...

SummaryActs as Team Lead for specialty programs medical review utilization management and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to staff. Ensures appropriate levels of healthcare services are provided.DescriptionWh...

DescriptionDischarge CoordinatorJob Type: Full Time DaysYour experience mattersAt Centra Behavioral Health Hospital we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll supp...

DescriptionSchedule:Full Time DaysYour experience mattersCentra Behavioral Health Hospital 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...

DescriptionDischarge Coordinator for Outpatient PHP/IOPJob Type: PRN Non ExemptSchedule:MUST HAVE ADULT GROUP THERAPY EXPERIENCEYour experience mattersValley Springs Behavioral Health Hospital is operated jointly with Lifepoint Behavioral Health and Baystate Health. We are driven by a profound commi...

Where Youll WorkSt. Elizabeth Community Hospital provides state-of-the-art health care to the North State communities. This award-winning facility is a member of the Dignity Health system of health care providers and is a not-for-profit medical center. Located in picturesque Tehama County St. Elizab...