Utilization Review Jobs in USA

Job Summary:Implements with minimal supervision high quality physical therapy services for patients caregivers and facilities in accordance with the principals and practices of physical therapy and with company policies and procedures. Develops treatment plans supervises assistants and aides contrib...

Job Summary:Implements with minimal supervision high quality physical therapy services for patients caregivers and facilities in accordance with the principals and practices of physical therapy and with company policies and procedures. Develops treatment plans supervises assistants and aides contrib...

Title:Special Operations Nurse Case Manager Part-Time (Coronado CA)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. We maintain a...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South...

Current Employees:If you are a current Staff Faculty or Temporary employee at the University of Miami please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position please review this tip sheet.Core Job Summary: The Patient Acces...

Job DescriptionThis Individual Position is Exempt from the Hiring Freeze. Qualified Applicants are Encouraged To Apply.Welcome to the Department of Health!Wed be delighted to have you join our team.If you envision yourself in this role and are ready to start an exciting career with us apply today!Th...

OverviewAbout the RoleThe Epic Resolute Professional Billing Senior Analyst functions as the primary support contact and expert for the Epic Resolute application. Works under the direction of the Supervisor/Manager to configure build and install the application. The Epic Resolute Billing Analyst coo...

Job Title: Clinical - Clinical Review Nurse - Concurrent Review Location: Illinois (Multiple Locations) Position Purpose The Utilization Review Nurse is responsible for conducting concurrent reviews to evaluate members overall health status the type and level of care being delivered medical necessi...

Job Overview Title: Registered Nurse Case Manager (RN Case Manager) Department: Case Manager Unit Type: Travel / Contract 13 Weeks Schedule: Day 5x8-Hour (08:00 16:30) Weekend Rotation No block scheduling Start Date: 12/22/2025 (ASAP) Job Description Summary We are seeking fo...

We are seeking a Community Behavioral Health Worker! Pike County OH Join our Team! Integrated Services for Behavioral Health (ISBH) is a community-minded forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communit...

Work Schedule:  M-F 8am-4:30pm 1 holiday per 1-2 year required.Under general supervision provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patients need for outpatient or inpatient car...

Come explore Deerfield Episcopal Retirement Community as Program Coordinator for our newest resident programming: Day Respite. Deerfield is an outstanding senior living community with a resort-like atmosphere and our commitment to resident wellbeing is prompting this new role. This is a part-time po...

Full-timeDescriptionBenchmark Human Services has grown to become one of the most respected organizations in the country in the areas of intellectual and developmental disabilities (IDD) and behavioral health. We work with people at home at work and in the community through residential employment cri...

The Operations Coordinator will manage Care Suites in the day-to-day operations Excel. The Operations Coordinator will work collaboratively with the EXCEL nurses therapists surgeon care teams and with health care providers in coordination and facilitation of services within the episode of care.This...

Job Title:Program Coordinator Civic Leadership Work Hours:Part-Time (15 hours/week) Pay:$21.39 - $25.72/hourRead Better Be Better (RBBB) is looking for aProgram Coordinator Civic Leadershipwho is passionate about supporting youth leadership strengthening community connections and helping high-school...

OverviewNorthside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a...

Job DetailsAre you looking to work for a company as an Operations Coordinator that is based on excellence and love Then this is the position you need to check out!ChristianaCare is one of the countrys most dynamic healthcare organizations centered on improving health outcomes making high-quality car...

JOIN THE CITY OF AUSTIN TEAMAt the City of Austin we are more than just an employerwe are a vibrant community dedicated to shaping one of the nations most dynamic and innovative cities. As we strive to fulfill our commitment as public servants it is important that we ground our efforts in a set of g...

Human services professionals are encouraged to consider an outstanding career opportunity with Liberty Healthcare Corporation.In partnership with Marylands Developmental Disabilities Administration Liberty Healthcare operates a statewide program which endeavors to develop continuous quality improvem...