Utilization Review Jobs in USA

Job Summary:Responsible for patient care under the direction and supervision of a licensed physical therapist as mandated by State Practice Act. Possesses training and education which allows him/her to assist the Physical Therapist in carrying out prescribed treatment program. Essential Functions:...

Job Title: RN Case Manager / Utilization Review / CDILocation: Syracuse NY 13210 Contract Duration: 13 Weeks Schedule: Day Shift Hours: 8.5 hrs/day 5 days/week 42.5 hrs/week Shift Time: 9:00 AM 5:30 PM Additional Requirement: Seeking an RN with MDS (Minimum Data Set) experience.Position SummaryW...

About the American College of SurgeonsThe American College of Surgeons (ACS) is a professional and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and improve the quality of care for surgical patients. The College is dedicated to the ethical...

General Summary:This is a direct service position requiring knowledge of mental health community programming and entitlement programs. Primary responsibilities include the provision and/or coordination of assessing and monitoring client needs developing service plans linking clients to services and...

Primary Location: Peace - LouisvilleAddress: 2020 Newburg Rd. Louisville KY 40205 Shift: Second Shift (United States of America)Job Description Summary: UofL Health is a fully integrated regional academic health system with five hospitals four medical centers nearly 200 physician practice lo...

Under the direction of the Assistant Superintendent of Teaching and Learning with support from the Executive Director of Special Services and in collaboration with central office administration and building principals the Social Work and Student Supports Program Coordinator will advance a shared men...

Job Title: RN Case Manager Location: Syracuse NY Assignment Duration: 13 weeks Schedule: MondayFriday 9:00 AM 5:30 PM Pay: $40 $58/hrJob Summary:Navitas Healthcare LLC is seeking RN Case Managerfor an exciting job in Syracuse NY.Responsibilities:Conduct comprehensive patient assessments and manag...

SummaryResearches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents decisions within ma...

Where Youll WorkCommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four...

CAREER DESCRIPTIONHCA SERVICE CHIEF IISalary may be negotiable within the range listed above based on position requirements and successful candidates qualifications subject to appropriate authorization.This recruitment is open to the publicfor a minimum of five (5) business days and will remain open...

About the Role The Utilization Review Specialist supports timely appropriate patient care by managing utilization review activities across inpatient outpatient and residential services. This role coordinates authorizations reviews clinical documentation ensures medical necessity and serves as a key...

OverviewThis position is on site at St. Lukes Hospital.The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in coordinating the departments interdisciplinary effort to assess and promote appropriate utilization of health care resources prov...

At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are our expertise in Innovative Medicine and MedTech we are unique...

JLL empowers you to shape a brighter way.Our people at JLL and JLL Technologies are shaping the future of real estate for a better world by combining world class services advisory and technology for our clients. We are committed to hiring the best most talented people and empowering them to thrive g...

DescriptionPosition Summary: The Clark Lab at Vanderbilt University is seeking a full-time Study Coordinator/Lab Manager for a NIMH-funded study on preteen suicide risk. Based in the Center for Research on Inequality and Health (Buttrick Hall 3rd floor) this position will support a 4-year multi-meth...

Our CompanyResCare Community LivingOverviewOur operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today!ResponsibilitiesProvides...

JLL empowers you to shape a brighter way.Our people at JLL and JLL Technologies are shaping the future of real estate for a better world by combining world class services advisory and technology for our clients. We are committed to hiring the best most talented people and empowering them to thrive g...

About University Enterprises Corporation at CSUSB(This is not a state position)University Enterprises Corporation at CSUSB (UEC) supports the universitys educational mission by providing quality services that complement the instructional program. The University depends upon UEC to provide services t...

Initial Posting Date: 12/02/2025Application Deadline:12/18/2025Agency:Department of Fish and WildlifeSalary Range:$6123 - $9409Position Type:EmployeePosition Title:Natural Resource Specialist 4 (Energy Program Coordinator)Job Description:Help the Oregon Department of Fish and Wildlife fulfill its mi...

DescriptionMarket Range: 09Hiring Salary: $22.77/HourlyJOB SUMMARY/ESSENTIAL JOB FUNCTIONS: The Program Coordinator for the Department of Physician Assistant Studies provides admissions and clinical support for the program. The position also supports the core faculty as well as adjunct faculty and g...