Utilization Management Jobs in USA

Shift and StatusFull time Monday to Friday 6:30 a.m. to 3:00 p.m. no weekendsJob SummaryCoordinates office functions and activities to maintain an effective and efficient department. Manages schedule/work for the Director and any Managers of Care Management. Acts as liaison and coordinates all compl...

Shift and StatusFull time Monday to Friday 7:00 a.m. to 3:30 p.m. no weekendsJob SummaryCoordinates office functions and activities to maintain an effective and efficient department. Manages schedule/work for the Director and any Managers of Care Management. Acts as liaison and coordinates all compl...

Hourly Pay Range:$43.69 - $67.72 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Position: RN Patient Placement - HUB - Per DiemLocation: Northwest Community Hospital- Arlington Heights ILPer Diem - will need to wo...

Thank you for considering a career at Roper St. Francis Healthcare!Scheduled Weekly Hours:0.01Work Shift:Days (United States of America)Primary Function/General Purpose of PositionThe Social Worker Care Manager is responsible for providing appropriate interventions and discharge planning services to...

Job OverviewThird-Party Administrator (TPA)We are seeking an experienced and compassionate Registered Nurse to join our team in a dynamic dual-role position combining Case Management and Utilization Review responsibilities within a Third-Party Administrator (TPA) environment.This role is ideal for a...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco our investors include Benchmark General Catalyst Peter Thiel Adam DAngelo Larry Summers and Jack Dorsey. Position: Health Insurance Expert Type: Contract Compensation: $115...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco our investors include Benchmark General Catalyst Peter Thiel Adam DAngelo Larry Summers and Jack Dorsey. Position: Health Insurance Expert Type: Contract Compensation: $115...

AWS Infrastructure Services owns the design planning delivery and operation of all AWS global other words were the people who keep the cloud running. We support all AWS data centers and all of the servers storage networking power and cooling equipment that ensure our customers have continual access...

The individual in this position has overall responsibility for hospital utilization management transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources timely and accurate revenue cycle processes denial prevent...

The individual in this position has overall responsibility for hospital utilization management transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources timely and accurate revenue cycle processes denial prevent...

Sanford Health the largest rural health system in the United States is dedicated to transforming the health care experience and providing access to world-class health care in Americas heartland. Work Shift:Day (United States of America) Scheduled Weekly Hours:40 Compensati...

Utilizing InterQual and other appropriate criteria responsible for reviewing all admissions and continued stay of patients in conformance with the established criteria set forth in the hospitals utilization management and quality assurance plan. Will determine the medical necessity for admission an...

Utilizing InterQual and other appropriate criteria responsible for reviewing all admissions and continued stay of patients in conformance with the established criteria set forth in the hospitals utilization management and quality assurance plan. Will determine the medical necessity for admission an...

DescriptionMount Sinai is one of the largest U.S. health systems with a strong reputation for quality of care and research. We have over 38000 employees working together to provide billions of dollars in high-quality care each year for millions of patients.We are accelerating a transition to a busin...

DescriptionMount Sinai is one of the largest U.S. health systems with a strong reputation for quality of care and research. We have over 38000 employees working together to provide billions of dollars in high-quality care each year for millions of patients.We are accelerating a transition to a busin...

Step Into a Role That Makes Care Transitions Smoother and Smarter!Our Mission: Quality compassionate care for all. Our Vision: Reimagine health care through connection service and innovation. Our Core Values: Be Kind Trust and Be Trusted Work Together Strive for Excellence.Logan Health Medical Ce...

Your Role:Licensed Therapist Required: You must be a licensed therapist to qualify for this positionEvening Hours: The position requires evenings.In-Person Monday to Friday from 11:00 am - 8:00 pmThe Company Youll JoinOCD Anxiety Centers has a true passion for bringing help and hope to some of the m...

Job DescriptionA 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 committed to ch...

WHO WE AREWe are a leading supplier of methacrylate chemistry. As a global company with around 2800 employees we are represented on three continents. We serve a global market with our MERACRYL methacrylates and PMMA molding compounds under the PLEXIGLAS brand (in the Americas registered under the tr...

DescriptionThe Director of Care Management oversees the Care Management program and coordinates and integrates patient care outcomes resource utilization and treatment patterns discharge planning social services psychosocial assessment and therapeutic interventions. The Director assists in developin...