Utilization Management Jobs in USA

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC your contributions matter and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% p...

Job SummaryThe Length of Stay (LOS) Administrative Lead is responsible for the daytoday operational leadership coordination and execution of regional and / or hospital level LOS reduction efforts. This role serves as the central integrator across LOS Physician Leads Patient Flow Coordinators Care Ma...

***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***Job SummaryThe Division of Public and Behavioral Health: Rural Clinics has an opening for a full time Licensed Psychologist 2 in Carson City...

Find your calling at Mercy!OverviewThe Supervisor of Utilization Care Management for Mercy is responsible for the direction leadership and oversight management for Utilization Care Management. This position is designed to facilitate an effective process of the new care model; supporting quality pati...

Job Title: RN Case Management ManagerLocation: Hyannis MADuration: 26-Week Contract Compensation: $2800 - $3700 WeeklyPosition OverviewWe are seeking an experienced RN Case Management Manager to lead and oversee Case Management Utilization Review and Social Work operations within an acute care setti...

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

Title: VP of PharmacyJob Type: Full-timeLocation: In-Office at our Brighton MA locationFLSA Status: ExemptPosition SummaryThe VP of Pharmacy is responsible for the end-to-end performance of pharmacy operations including outpatient pharmacies mail order services and the external retail pharmacy netwo...

Clinical Coordinator - Utilization ReviewAnnual Salary: $62406Work Schedule: Monday - Friday 8:30 am - 5:00 pmThe Hampton - Newport News Community Services Board (CSB) is hiring a Clinical Coordinator - Utilization Review for the Region 5 Reinvestment Initiative. This full-time Clinical Coordinator...

Medical Social Worker (MSW) Acute Care HospitalLocation: Torrance CaliforniaDuration - 13 WeeksPosition SummaryWe are seeking an experienced Medical Social Worker (MSW) to join a dynamic Acute Care Hospital team. The Medical Social Worker will provide comprehensive psychosocial support discharge pl...

AboutCorewell HealthWilliam Beaumont UniversityHospitalIn July 2024 we were recognized by U.S. News & World Report with an impressive performance.Corewell Health William Beaumont University Hospital tied for the top spot in the state ranks No. 10 nationally out of 257 hospitals in the OB/GYN categor...

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services this position you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria respective to various Health Plans.This position...

City/StateSuffolk VAWork ShiftFirst (Days)Overview:OverviewReporting to the division president and as a member of the division leadership team the VP Chief Medical Officer is accountable for the clinical performance improvement including the promotion of clinical appropriateness the reduction of unw...

Overview:**5000 Net Sign-on Bonus** New employees only40 hours per week Monday - Friday 8am - 5pmSalaried Nursing position. Full-time benefits.Family Experience: For Kids Website: Job Description Summary:Ensures the provision of quality patient care in the appropriate setting through care coordinat...

ENL Case ManagementCompensation range:$58.56 - $79.06Your rate of pay will be based on applicable experienceShift: Days Days off: Variable one weekend shift per week is required Hours per pay period: 60S...

OverviewOpportunities for you!Consecutively recognized as a top employer by Forbes and in 2025 by NewsweekFree Continuing Education and certificationTuition reimbursement educationprogramsand scholarshipsVacation time starts building on Day 1 and builds with your seniorityFree money toward retiremen...

Site: The Brigham and Womens Hospital Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service st...

At Zelis we Get Stuff Done. So lets get to it!A Little About UsZelis is modernizing the healthcare financial experience across payers providers and healthcare consumers. We serve more than 750 payers including the top five national health plans regional health plans TPAs and millions of healthcare p...

2200 River Plaza Dr Sacramento CA 95833 Description: Job Title: Authorization Coordinator I Location: 100% Remote Sutter Health CAOP Authorization Schedule: Remote AM shift 5x8-hour days 6 months from onboarding date Contract full-time non-exempt Requirements: HS diploma or equivalent edu...

Job Location: 415 Patterson Avenue Santa Barbara CA 93111 Description: Job Title: Authorization Coordinator I Location: 100% Remote Sutter Health CAOP Authorization Schedule: Remote AM shift 5x8-hour days 6 months from onboarding date Contract full-time non-exempt Requirements: HS diploma...

DescriptionTHE POSITIONUnder general direction of the Health Care Plan Administrator responsible for managing the daily operations of the Quality Assurance Utilization Management and Case & Disease Management departments within the Ventura County Health Care Plan.The Director of Health Services - Ve...