Utilization Review Jobs in USA

Position Summary: The Nurse Case Manager assists in providing a system of health care delivery at UMC which utilizes a coordinated collaborative multi-disciplinary approach to assess plan coordinate and evaluate the health care needs of patients throughout the health care continuum. The Nurse Case M...

Discover Your Career at Emory UniversityEmory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the excellence of our academic community.DescriptionThe...

GRADE 18 LOCATION OF POSITION MDH Office of the Assistant Secretary for Population Health & Strategic Initiatives201 W. Preston StreetBaltimore MD 21201Main Purpose of Job The main purpose of this full-time contractual position will be to lead and execute the States strategic initiatives...

Job DescriptionHarborview Medical Center - Stroke Center has an outstanding opportunity for a Full-time Days Stroke Program Coordinator.WORK SCHEDULEFull-time 100% FTE (40 hours per week)Monday- FridayDay Shift 0800-430pmNo telework/On-sitePOSITION HIGHLIGHTSConveniently located near public transpor...

Location:Windsor Run by Erickson Senior LivingJoin our team as a Program Coordinator (Continuing Care) to support the delivery of engaging therapeutic programming that enhances the lives of residents across our Continuing Care neighborhoods including Assisted Living Memory Care Skilled Nursing and L...

Open: March 18 2026 Close: April 2 2026 Job Title: Program Coordinator Department: Emergency Housing Repair Reports To: Director Hours: 40 Hrs/Wk Full TimeSalary: Based on Salary MatrixBenefits Requisition: 887 *Salaries are market competitive. For accurate salary information call or...

DescriptionAt Bristol Health we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients residents and families. We are committed to provide compassionate qua...

DescriptionDo you like being responsible for residential and community programs Do you emjoy setting departmental goals leading staff and holding them accountable Do you enjoy working and coordinating with a multi-disciplinary teamIf you answered YES to either of these questions then consider joinin...

DescriptionJob SummaryThis role supports care coordination activities within ambulatory services specifically for the medical group. Performs all duties as assigned.Job Responsibilities Collaborate in overseeing the practices care coordination initiatives. Assist with and facilitate the...

Background Screening Information - Position SummaryThe Care Manager Assistant - LPN assists with 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 and interpersonal contac...

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

Full-timeDescriptionAt Signature Health our purpose is to provide integrated healthcare for our community specializing in patients with mental illness and/or addiction because we want people to realize their highest potential. If you align with our core values putting people first striving for excel...

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

SummaryWe are currently hiring for a Managed Care Coordinator II Utilization Management to join BlueCross BlueShield of South this role as a Managed Care Coordinator II Utilization Management you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria b...

DescriptionJob Title: Clinical CoordinatorReports To: Practice ManagerJoin a team that cares for your community and for you!At Allergy Partners we are dedicated to improving the lives of our patients through compassionate personalized allergy and asthma care. As part of the nations largest allergy...

Work ScheduleStandard (Mon-Fri)Environmental ConditionsOfficeJob DescriptionThis is a fully remote role supporting our GMP Laboratory in Middleton WI. We welcome applications from all locations within the US.Must be legally authorized to work in the United States without sponsorship.Must be able to...

Work ScheduleStandard (Mon-Fri)Environmental ConditionsOfficeJob DescriptionJoin us as Quality Assurance Auditor II (Technology Solution Audits Team) and enhance our clinical auditing processes by ensuring regulatory compliance and quality standards.What Youll Do: Conduct and/or lead external suppli...

Primary Location: Nucleus BuildingAddress: 300 E. Market St. Louisville KY 40202 Shift: Job Description Summary: Job Description: The Epic Resolute PB Analyst is responsible for the design build implementation optimization and support of the Epic Resolute Professional Billing application wit...

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...