Utilization Management Jobs in USA

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...

The Social Worker LCSW 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.A licensed masters-prepared social worke...

Bounty DescriptionIndustry:Healthcare / Health Services - Social Services / Mental HealthJob Category:Medical / Health - Other Medical / HealthThe Manager Care Management is responsible for the daily management and organization of all activities and staff within the Care Management Department includ...

LOS ANGELES AIR FORCE BASE CALIFORNIALICENSED CLINICAL SOCIAL WORKER - BEHAVIORAL HEALTH CONSULTANT (IBHC)LCSW Core Duties:Participate in Utilization Management/Case Management meetings to review and identify opportunities to improve treatment provided and recommend corrective action when problems e...

Embark on a Journey That Makes a Difference.At Generali Global Assistance (GGA) every day is an opportunity to help people explore the world with confidence. Were not just in the business of protectionwere in the business of adventure and peace of mind. Whether its a backpacker trekking through the...

FRAUD ALERT: Please note that DSV will never request a chat interview or solicit funds from applicants or employees through its interviewing and hiring process. We do not require any form of payment and will not ask for personal financial information such as credit card or bank account number. Our r...

if you are interested in below role Please share your updated resume to Role Enterprise Architect Location: Indianapolis IN Onsite Contract Role Descriptions: 5 Year of Experience in Health cloud Health Cloud Health Cloud Data Models o Patients Care Program Care Program Enrollee Care P...

**REDUCED Non-Billable Orientation (NBO) Job - 0 Hours NBO vs. Standard 40 NBO** OR WA or CA Pharmacist License Required 3 Years in a Managed Care Environment Required (meaning dealing with Prior Authorizations Audits Appeals ALJ Court hearings etc) **Rare weekends required a few times per year** RE...

**REDUCED Non-Billable Orientation (NBO) Job - 0 Hours NBO vs. Standard 40 NBO** Pharmacy Tech Role **OR PHARM TECH LIC REQUIRED** **MUST have advanced Excel skills. Do not submit without ADVANCED EXCEL. On call 2-3 weekends per year. This position is responsible for performance of technically detai...

OverviewNorthside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a...

OverviewNorthside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a...