Utilization Review Jobs in USA

Anticipated End Date:Position Title:Manager I GBD Special Programs (UM)Job Description:LOCATION: This is a virtual eligible role. Virginia residency is required.HOURS: General business hours Monday through Friday.This role enables associates to work virtually full-time with the exception of required...

At Collective Health were transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology compassionate service and world-class user experience design.The Senior Utilization Management Consultant is a highly experienced Registered Nurse...

Anticipated End Date:Position Title:Manager I GBD Special Programs (UM)Job Description:LOCATION: This is a hybrid role requiring you to be in the office 3 days per week. Virginia residency is required.HOURS: General business hours Monday through Friday.This role requires associates to be in-office 3...

At Collective Health were transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology compassionate service and world-class user experience design.The Senior Utilization Management Consultant is a highly experienced Registered Nurse...

Anticipated End Date:Position Title:Clinical Pharmacist - CarelonRxJob Description:Be Part of an Extraordinary TeamCarelonRx is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies our stro...

Title:Special Operations Nurse Case Manager (3rd OSG Ft. Bragg NC)THIS POSITION OFFERS RELOCATION.We attract the best minds in the world because our expertise thrives on creativity resourcefulness and collaboration. That is how we supply our clients with cutting-edge solutions and services. We are s...

Anticipated End Date:Position Title:Medical Management Clinician Sr.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 require...

Title:Special Operations Nurse Case Manager (USASOC DPA Fort Bragg NC)THIS POSITION OFFERS RELOCATION.We attract the best minds in the world because our expertise thrives on creativity resourcefulness and collaboration. That is how we supply our clients with cutting-edge solutions and services. We a...

Anticipated End Date:Position Title:Clinical Pharmacist (Indiana License)Job Description:Be Part of an Extraordinary TeamCarelonRx is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies ou...

Anticipated End Date:Position Title:Clinical Pharmacist (Indiana License)Job Description:Be Part of an Extraordinary TeamCarelonRx is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies ou...

Title:Special Ops Licensed Clinical Social Worker (NAB Coronado CA)THIS POSITION OFFERS RELOCATION.A career at KBR can change the world and change your life. If youre ready lets get started.KBR maintains a highly qualified workforce to help care for service people and astronauts. We are looking for...

Title:Special Ops Licensed Clinical Social Worker (NAB Coronado CA)THIS POSITION OFFERS RELOCATION.A career at KBR can change the world and change your life. If youre ready lets get started.KBR maintains a highly qualified workforce to help care for service people and astronauts. We are looking for...

Anticipated End Date:Position Title:Utilization Management Rep IIJob Description:Utilization Management Representative IILocation: The selected candidate for this position must reside in Iowa.Virtual:This role enables associates to work virtually full-time with the exception of required in-person tr...

The CARES Program Coordinator is responsible for coordinating the care of Salud patients enrolled in the Ryan White program. The aim is to coordinate their HIV care in a primary care setting taking a holistic approach to their care including case management dental behavioral health and substance abu...

OverviewServe as the Healthy Families services Coordinator for the Maternal Infant and Early Childhood Home Visiting Services and for all children and families enrolled in the program. Coordinates staff in the implementation of the MIECHV benchmarks/state performance targets as required by the gran....

DescriptionThe GSS Program Coordinator serves as the primary advisor for the Graduate Student Senate (GSS) and its various committees. This position also serves as a liaison between GSS the Graduate School and other campus offices and leadership. The GSS Program Coordinator is an advocate on campus...

DescriptionThe GSS Program Coordinator serves as the primary advisor for the Graduate Student Senate (GSS) and its various committees. This position also serves as a liaison between GSS the Graduate School and other campus offices and leadership. The GSS Program Coordinator is an advocate on campus...

PRN Every other weekend Saturday and Sunday: The Admissions Counselor (aka Intake Coordinator) is a Clinical professional responsible for facilitating admissions clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and...

FULL-TIME ROTATING WEEKENDS: The Admissions Counselor (aka Intake Coordinator) is a Clinical professional responsible for facilitating admissions clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/re...

Job Title: LPN Quality Assurance Nurse Location: Flagstaff AZ 86001 Schedule: Day Shift 40 hours/week Pay Rate: $40$44/hrPosition OverviewNavitas Healthcare LLC is seeking LPN Quality Assurance Nursefor an exciting job in Flagstaff AZ.Key ResponsibilitiesQuality Assurance & ComplianceImplement QA...