Utilization Review Jobs in USA

Who We Are:SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive exceptional care. Patient-centered whole-person care. Our unique full scope team-based approach is what makes SAC Health the provider of choice for patients. Top-Tier Patien...

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...

The Case Manager 1 directs the utilization review of patient charts treatment plans and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of information pertaining specifically to the assign...

NC Department of Health and Human Services (DHHS) seeks a Pharmacist as a Pharmacy Benefits Management (PBM) Business Integration Specialist to join the Medicaid Enterprise System (MES) project. The PBM Business Integration Specialist will serve as a member of the DHHS Medicaid Enterprise System (M...

We are seeking a Community Behavioral Health Worker! Hocking 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 commu...

We are seeking a licensed Counselor or Social Worker! Scioto 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 commu...

Title: PBM Business Integration Specialist (Pharmacist) Location: Raleigh NC (Hybrid) Duration: 9 Months Interview Type: Webcam Interview Only NC Department of Health and Human Services (DHHS) seeks a Pharmacist as a Pharmacy Benefits Management (PBM) Business Integration Specialist to join the Me...

What Youll Do:Provide Hands-On Care: Assist individuals with daily activities like personal care meal prep and transportation all while fostering independence.Create a Safe & Welcoming Environment: Maintain a clean safe space that ensures comfort and support while helping individuals reach their per...

 The  Case Therapist II reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.Case Therapist coordinates care includi...

The Quality Utilization Specialist reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.Responsibilities:Applies med...

Salary Range: $40000 - $50000/per yearCompany DescriptionVolo Kids Foundation provides free organized sports programs to kids in Baltimore Boston Denver New York New Jersey San Diego San Francisco and Washington DC. Our programs remove barriers to athletic participation such as gender skill and fina...

Who is BlueprintWe are a technology solutions firm headquartered in Bellevue Washington with a strong presence across the United States. Unified by a shared passion for solving complicated problems our people are our greatest asset. We use technology as a tool to bridge the gap between strategy and...

Job DescriptionSalt Lake CountyA career with a purpose in the community you love!Salt Lake County invites you to explore our exciting career opportunities. We seek highly enthusiastic individuals to enrich our County with your experience and talent. If you enjoy working in a team environment that is...

CampusOSU-StillwaterContact Name & EmailKami Gallus Work ScheduleMonday through Friday 8:00am-5:00pm with occasional evenings and weekends.Appointment LengthRegular Continuous/Until Further NoticeHiring Range$45000 - $57000Priority Application DateWhile applications will be accepted until a successf...

SummaryTHIS ROLE IS CONSIDERED A FIRST RESPONDER AND MUST PHYSICALLY REPORT TO WORKSITE.King Countys Office of Emergency Managementis looking for an Emergency Management Program Professional to join our team. Position isresponsible for working on regional preparedness and emergency operations projec...

Team Red Dog is looking for an experienced Program Coordinator Xbox Publisher Engagement to join our global technology leader clients dynamic gaming this role youll help streamline publisher engagement and onboarding for Xbox tools and features ensuring seamless coordination across internal teams...

Job Description SummaryThe Program Coordinator is responsible for the day to day management of the South Carolina Education in Neurodevelopmental and Related Disabilities training program and the management for the MHCB Developmental-Behavioral Pediatrics Training grant. The Coordinator will be resp...

Who is BlueprintWe are a technology solutions firm headquartered in Bellevue Washington with a strong presence across the United States. Unified by a shared passion for solving complicated problems our people are our greatest asset. We use technology as a tool to bridge the gap between strategy and...

Salary Range: $40000 - $50000/per yearCompany DescriptionVolo Kids Foundation provides free organized sports programs to kids in Baltimore Boston Denver New York New Jersey San Diego San Francisco and Washington DC. Our programs remove barriers to athletic participation such as gender skill and fina...

Employment Coordinators are responsible forplanning preparing and helping to securejobs for adults who live with mental health impairments and are working towards their recovery utilizing the Individualized Placement and Support (IPS) evidence-based practice. BACS staff prides itself on doing whatev...