Utilization Management Jobs in USA

Anticipated End Date:Position Title:Project DirectorJob Description:Project DirectorLocation:This role requires associates to be in-office 3 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life balance. This approach combines struct...

Billing & Credentialing Specialist at Canopy Roots Canopy Mental Health & Consulting As our Billing & Credentialing Specialist you will lead end-to-end billing operations and own provider credentialing across behavioral health programs with a strong emphasis on Minnesota Medicaid (MHCP) Medicare an...

Summary The Asthma Allergy and Immunology Clinical Pharmacist position offers the opportunity to provide specialized pharmacy care for patients with a wide range of chronic conditions including asthma COPD atopic dermatitis rhinosinusitis nasal polyps urticaria and hereditary angioedema.By working...

Summary The Infectious Disease Pulmonary Hypertension & Neurology Ambulatory Clinical Pharmacist position offers a unique opportunity to provide advanced pharmacy services across multiple highly specialized clinics at National Jewish Health. This role supports patients with complex infectious neuro...

Summary The Infectious Disease Pulmonary Hypertension & Neurology Ambulatory Clinical Pharmacist position offers a unique opportunity to provide advanced pharmacy services across multiple highly specialized clinics at National Jewish Health. This role supports patients with complex infectious neuro...

Summary The Asthma Allergy and Immunology Clinical Pharmacist position offers the opportunity to provide specialized pharmacy care for patients with a wide range of chronic conditions including asthma COPD atopic dermatitis rhinosinusitis nasal polyps urticaria and hereditary angioedema.By working...

Summary The Asthma Allergy and Immunology Clinical Pharmacist position offers the opportunity to provide specialized pharmacy care for patients with a wide range of chronic conditions including asthma COPD atopic dermatitis rhinosinusitis nasal polyps urticaria and hereditary angioedema.By working...

Anticipated End Date:Position Title:Nurse Case Manager IIJob Description:Nurse Case Manager IILocation:Virtual: This role enables associate to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes produc...

Anticipated End Date:Position Title:Nurse Case Manager IIJob Description:Nurse Case Manager IILocation:Virtual: This role enables associate to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes produc...

Position Summary:The Nurse Case Manager 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. Assists in coordinatin...

Utilization Management Registered Nurse (UM RN)Job SummaryWe are seeking an experienced and detail-oriented Utilization Management Registered Nurse (UM RN) to join our hospital team. The UM RN is responsible for reviewing patient cases to ensure appropriate utilization of healthcare services medical...

Job DetailsDo you want to work at one of the Top 100 Hospitals in the nation We are guided by our values ofLoveandExcellenceand are passionate about delivering health not just health care. Come join us at ChristianaCare!Our Utilization Management departmentlocated in Wilmington DE is looking for a f...

Provides utilization management functions as a part of the Program for All Inclusive Care for the Elderly benefits management system. This includes providing utilization review and management for all acute post-acute and outpatient services as well as performing the identification analysis and resol...

Find your calling at Mercy!The Nurse Navigator is a leader providing support mentorship and guidance to those who provide direct patient care. The Nurse Navigator coordinates the delivery of patient care by assessing care requirements of the individual patient and makes recommendations based on seve...

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...

Our CompanyRehab in MotionOverviewThe Outpatient Site Manager (Rehab in Motion) is directly responsible for managing the business and clinical operations of assigned treatment facility. The Site Manager assures care and services provided by the team are in compliance with state and federal regulator...

Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier com...

Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier com...

Department:39733 Enterprise Corporate - Care TransitionsStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:The role manages a Transitional Care Management RN team that provides remote patient support 365 days per year between the hours of 0800-2030 in the...

SummaryThe Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply including Black Indigenous and People of Color immigrants refugees women LGBTQ people with disabilities veterans and those with lived e...