Utilization Management Jobs in USA

Join the Team Modernizing MedicineAtModMed were not just building softwarewere reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur we took a radically different approach:we hired doctors and taught them how to code.This for doctors by d...

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...

Department InformationHybrid Workplace Arrangement:Although this position will be designated under the departments hybrid workplace program it will still be required to report to the department office on a scheduled basis and at the discretion of the supervisor based on business needs.This announcem...

POSITION SUMMARYThe Director of Advancement leads Envision Educations communications marketing fundraising partnerships and brand strategy. This position is responsible for developing and implementing strategies that strengthen organizational visibility deepen stakeholder engagement expand philanthr...

This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. This geography covers the University of Chicago north to the border of Wisconsin west into Dubuque IA South to Burr Ridge and the surr...

WelbeHealth PACE helps seniors stay in their homes and communities by providing medical care and community-based services. We believe in going the extra mile and aim to make a genuine difference in our participants lives.The Utilization Management Medical Assistant (UM MA) is accountable for the rev...

Utilization and Care Management NurseWork from home within Oregon Washington Idaho or UtahBuild a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.Who We Are Looking For:Every day Cambias dedicated team of Nurses are living our mission to...

Description Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States Do you have a passion for the highest quality and patient happiness Then please respond to this dynamic opportunity available with one of the best places to...

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...

OverviewOpportunities for you!Consecutively recognized as a top employer by Forbes and in 2025 by NewsweekVacation time starts building on Day 1 and builds with your seniorityFree money toward retirement with a 403(b) and matching contributionsGreat food options with on-demand orderingFree parking a...

OverviewHospital Name: UF Health Rehabilitation Hospital GainesvilleAffiliation with Select MedicalPosition: Case ManagerLocation:2708 SW Archer RoadGainesvilleFlorida32608Schedule:Per Diem - weekday and weekend opportunitiesOur Inpatient Rehabilitation Hospital is committed to providing exceptional...

DescriptionPay: $23.12 per hourWork schedule:Full-time 8:00am-5:00pm Monday through FridayBenefit package includes:Medical vision dental and prescription drug benefitsLife accidental death and dismemberment insuranceShort-term and long-term disability benefits401(k) retirement planEmployee assistanc...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

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...

Anticipated End Date:Position Title:Clinical Pharmacist - Data AnalyticsJob Description:Work location - Hybrid 1This role requires associates to be in-office 1 - 2 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life balance. This a...

Psychiatric Mental Health Nurse Practitioner (Crisis / OSC Expedited Care)Community Bridges INCFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient pat...

Psychiatric Mental Health Nurse Practitioner (Crisis / OSC Expedited Care)Community Bridges INCFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient pat...

Department:10338 Enterprise Revenue Cycle - PreArrival AuthorizationStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Remote Position--Monday to Friday 9:30am to 600pmPay Range$22.90 - $34.35Major Responsibilities:Acquires and maintains current knowledge...

Anticipated End Date:Position Title:Nurse Case Mgr SrJob Description:Location: This role requires associates to be in-office 4 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life balance. This approach combines structured office en...