Utilization Review Jobs in USA

OverviewThe Digital Accessibility Coordinator (Program Coordinator I) supports the Digital Accessibility Officer by coordinating digital accessibility efforts across the university. This role assists with implementing accessibility best practices across a variety of platforms including university vi...

What were looking for: Humata Health Inc. is seeking a Clinical Nurse to join our team and work at the intersection of healthcare and AI this role you will collaborate with clients composed of health plan utilization review nurses and internal teams to ensure that our AI systems accurately support...

Job Title: System Director of Case ManagementLocation: Bozeman MTJob Type: Full TimePosition SummaryThe System Director of Case Management is responsible for assisting with the planning direction organization monitoring and staffing of the Case Management Department in alignment with organizational...

Job Description SummaryNursing Case Managers strives to promote a seamless transitions between different healthcare settings such as hospitals rehabilitation facilities and home care services. By coordinating communication and information sharing among providers they help prevent gaps in care and re...

Employment Status:Full timeShift:Day/Evening (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R152940 RN Case Manager (Open) How Youll Help Transform Healthcare:Monday - Friday 8am-4:30pmThe RN Case Manager provides case management for assigned patient po...

Employment Status:Full timeShift:Day/Evening (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R151615 RN Case Manager - Weekends - Emergency Department (Open) How Youll Help Transform Healthcare:The RN Case Manager provides case management for assigned pa...

DescriptionFacility Name: TGH Behavioral HospitalSchedule: Full TimeYour experience mattersTGH Behavioral Hospital 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 prov...

Department InformationOpt in below to receive text message updates on CDHS recruiting events!CDHSCareersThis position is open ONLY to Colorado State ResidentsAbout the Medical Records DepartmentThe Medical Records Department (MR) manages health information for the benefit of the patient and care pro...

We are looking for an experienced UM Medical Director to lead the clinical integrity of our utilization management function. This physician leader will focus specifically on inpatient and post-acute care reviews ensuring timely and appropriate care determinations for our Medicare Advantage members.R...

Full-timeDescriptionAt Commence were the start of a new age of data-centric transformation elevating health outcomes and powering better more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers technology that advances performance and clinical...

Full-timeDescriptionAt Commence were the start of a new age of data-centric transformation elevating health outcomes and powering better more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers technology that advances performance and clinical...

Innovation is at the core of what we do. We believe that by removing and reducing the barriers thatprevent people from taking their medications we can help customers conveniently get themedications they need when they need them and take them as prescribed. We have providedcustomers with the ability...

Innovation is at the core of what we do. We believe that by removing and reducing the barriers thatprevent people from taking their medications we can help customers conveniently get themedications they need when they need them and take them as prescribed. We have providedcustomers with the ability...

Position Title: Qualified Professional I(QPI)This job will require being the QP for 2 locations Roanoke Rapids and Stantonsburg LIFE Inc. does provide travel compensation.BenefitsCompetitive PayMedicalInsurancePTORetire PlanLongevity Bonus (on hire date each year)Growth OpportunitiesResponsibilities...

Job:Licensed Master Social WorkerClassification:Hourly/Non-ExemptJob Category:2 ProfessionalsPosition SummaryThe Inpatient Licensed Master Social Worker (LMSW) is responsible for providing comprehensive psychosocial assessments crisis intervention and discharge planning for patients in an acute hosp...

Location:Geisinger Community Medical Center (GCMC)Shift:Days (United States of America)Scheduled Weekly Hours:20Worker Type:RegularExemption Status:YesJob Summary:Functions as a pharmacist at the Retail Site Pharmacy and provides efficient accurate and safe medication services to patient/customers b...

Description$10000 Sign-On Bonus!Schedule:Full-time MondayFriday daylight hours with rotating weekends holiday call rotation and rotating on-call coverage.Your experience mattersConemaugh Memorial Medical Center is part ofLifepoint Health a diversified healthcare delivery network with facilities coa...

Where Youll WorkFounded in 1973 Dignity Health - Methodist Hospital is a 158-bed acute care nonprofit hospital located in Sacramento California serving over 80000 patients annually. The hospital also has a 171-bed skilled nursing facility providing both short and long-term medical and rehabilitative...

Your Role:This is a full-time in-person roleHours: 8 hour shift - Monday to FridaySouth Jordan UT officeThe Purpose of Your RoleThe Verification of Benefits (VOB) Specialist verifies insurance eligibility and benefits for prospective clients prior to admission. Working closely with the Admissions te...

Hi were Oscar. Were hiring a UM Nurse Manager to join our Utilization Management team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we wo...