Utilization Review Jobs in USA

Position Title: Manager Clinical Resource / Case Management Location: Hyannis MA 02601 Job Type: Contract Shift: Day 58-hour shifts Pay Range: $80$82 hourlyPosition Summary:Navitas Healthcare LLC is seeking Manager Clinical Resource / Case Managementfor an exciting job in Hyannis MA.Qualifications:...

Position Title:Manager Clinical Resource / Case Management (Travel) Location: Hyannis MA 02601 Job Type: Contract Shift: Day 58-hour shifts Travel Pay Range: $85$90/hourPosition Summary:Navitas Healthcare LLC is seeking Manager Clinical Resource / Case Management (Travel)for an exciting job in Hyan...

Location:Medical Center - Fort WorthDepartment:Case ManagementShift:Weekend Shift (United States of America)Standard Weekly Hours:20Summary:The RN Case Manager (Nex) uses a collaborative process to plan assess implement monitor and evaluate the options and services required to meet the healthcare ne...

OverviewThe Vice President of Outpatient and Ancillary Services is responsible for developing processes monitoring performance and improving the overall operation of the outpatient service lines Intake UR and SMART Team functions of the Voyage Behavioral Health network of hospitals to facilitate opt...

DescriptionThe (per diem) Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions pre-admission testing and operating room procedures. This individual seeks the assistance of the Nurse Manager in identifying cases which require pre admission screening or h...

Position Title: Travel Case Management RN Location: Hyannis MA 02601 Job Type: Contract Shift: Day 58.5s Travel Pay Range: $65$72 hourlyPosition SummaryNavitas Healthcare LLC is seeking Travel Case Management RNfor an exciting job in Hyannis MA.ResponsibilitiesConduct daily admission screenings and...

Job Title: Registered Nurse (RN) Case Manager Location: Syracuse NY 13210 Contract Duration: 13 Weeks Shift: 9:00 AM 5:30 PM Pay Rate: $53 $56/hourPosition SummaryNavitas Healthcare LLC is seeking an experienced Registered Nurse (RN) Case Manager with strong skills in Utilization Review Clinical...

Where Youll WorkSt. Johns Regional Medical Center located in Oxnard California is a recognized as a Top 250 Hospital in the Nation and as one of Americas 100 Best Hospitals for Cardiac Care by Healthgrades. St. Johns Regional is a part of Dignity Healths Southern California Division and is a member...

Hi were Oscar. Were hiring a Physician Reviewer 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...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Director of Case ManagementFull Time: Monday - Friday 8-5pmClinical license as a registered nurse or respiratory therapist or masters in social work and minimum three (3) years of medical case management or similar experience...

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...

Anticipated End Date:Position Title:RN Med Management Clinician Sr. (UM/UR)Job Description:LOCATION: This is a virtual eligible position. Virginia residency is required.HOURS: General business hours Monday through Friday.This role enables associates to work virtually full-time with the exception of...

What We DoMilliman IntelliScript is a group of a few hundred experts in fields ranging from actuarial science to information technology to clinical practice. Together we develop and deploy category-defining data-driven software-as-a-service (SaaS) products for a broad spectrum of insurance health IT...

Are you an internal caregiver student or contingent worker/agency worker at UMass Memorial Health CLICK HERE to apply through your Workday account.Exemption Status:Non-ExemptHiring Range:$41.96 - $75.52Please note that the final offer may vary within this range based on a candidates experience skill...

*ONLY OPEN TO CURRENT FULL-TIME ANNUALLY PAID PARKS EMPLOYEES*The Environment and Planning Division aims to protect restore and expand New York City Parks including green spaces and natural areas to maximize their benefits for environmental and community health and resilience. The Planning team is a...

AECOM is seeking a Program Coordinator to be based in Los Angeles California.This role will be remotePrepare and distribute accurate meeting minutes and maintain records.Coordinate calendar management for team meetings client sessions etc.Support induction and onboarding of new team members.Facilita...

The Summer Program Coordinator reflects the mission vision and values of Northwestern Medicine GCM Grosvenor Scholars Program (hereafter referred to as NM Scholars) a partnership between Northwestern Medicine George Westinghouse College Prep High School Daniel Hale Williams Prep and Bronzeville Scho...

Live the Mission This position is in-person and not eligible for remote work.Position SummaryThe RN Utilization Review Manager is responsible for the coordination of the patients care and services and manages theresource utilization for all skilled patients based upon the patients clini...

Ann & Robert H. Lurie Childrens Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence kids and t...

Department: Lundquist College of BusinessClassification: Administrative Program SpecAppointment Type and Duration: Regular OngoingSalary: $22.84 $34.70 per hourFTE: 1.0Review of Applications BeginsJanuary 5 2026; position open until filledSpecial Instructions to ApplicantsTo ensure consideration co...