Utilization Management Jobs in USA

Join CommunityCommunity Health Network was created by our neighbors for our neighbors. Over 60 years later community is still the heart of our organization. It means providing our neighbors with the best care possible backed by state-of-the-art technology. It means getting involved in the communitie...

ESSENTIAL DUTIES AND RESPONSIBILITIES Included but not limited to the following:ï Execute QA-related tasks and processes in the Business QA department.ï Provide Specific attention to clinical changes for government programs.ï Review and validate that rules and utilization management along with clini...

OverviewLead the Way as Director of Care Coordination/RNAC at Diversicare!At Diversicare were looking for a passionate Director of Care Coordination to join our exceptional team. If youre dedicated to making a difference in the lives of our patients and residents we invite you to apply.Why Lead at D...

Summary:The Director of Strategic Sourcing leads enterprise-wide sourcing strategy across clinical and non-clinical categories driving cost optimization supplier performance and value-based outcomes. This role partners with physicians supply chain finance and operational leaders to align sourcing in...

Case Manager RN Acute Care HospitalLocationTallahassee FloridaScheduleFull-TimeDay Shift: 8:00 AM 4:30 PM1 Weekend Every 4 WeeksCompensation$31.94/hr $43.92/hr (based on experience)Additional CompensationEvening Differential: $2.50/hrWeekend Differential: $2.00/hrShift differentials may stack whe...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides assistant surgical services in the operating room as well as other selected medical services under the direction of the surgeon.AccountabilitiesProvides general surgical assistant services in operating room.10%Assists surg...

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...

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...

Job DetailsRN Case Manager Weekend Incentive Program (WIP) - Day ShiftSaturday & Sunday (Hours: 8a-8:30p plus one rotating Friday shift (4p-8p).Wilmington DEExternal Candidates are Eligible for a 10K Sign-on Bonus! ChristianaCare - Wilmington Hospital is currently recruiting an RN Case Manager - We...

Job DescriptionUW Medical Center-Northwest Freestanding Infusion Center has an outstanding opportunity for a Registered Nurse (RN) Coordinator.WORK SCHEDULEFull time / 40 hours per week8 hour day shifts Monday-FridayOur clinic is closed on nights weekends and holidaysDEPARTMENT DESCRIPTIONThe ambul...

Revenue Cycle ManagerHelp Shape the Future of Community Behavioral HealthAt Valley Cities were transforming behavioral health care across our communities. As we lead efforts to become a Certified Community Behavioral Health Clinic (CCBHC) were expanding access to integrated mental health and substan...

Senior Account Executive - Health System PartnershipsLocation: Baltimore Maryland Area - onsite across 46 hospital campuses (regional travel required)Reports to: Chief Strategy Officer / Chief Executive OfficerType: Full-timeRole OverviewSilverStay is hiring a senior Account Executive to own and gro...

Doka USA is seeking an Area Manager to lead and support our Tomball TX branch while overseeing business development and performance across the assigned territory. This role is responsible for the overall leadership performance and profitability of the branch ensuring operational excellence while dri...

OverviewNaphCareis hiringaUtilization Management Physician to join ourteam at our Corporate Office in Birmingham AL.The Utilization Management Physician will provide a streamlined efficient and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing co...

OverviewNaphCareis hiringaUtilization Management Physician to join ourteam at our Corporate Office in Birmingham AL.The Utilization Management Physician will provide a streamlined efficient and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing co...

Utilization Management RN Pediatrics (Remote) New York RN License Required 110K Fully remote opportunity Pediatric Utilization Management focus Fast interview processLocation: Remote Must hold active New York RN licenseJob Type: Full-TimeDepartment: Utilization ManagementAbout UsMorgan Stephens...

Utilization Management RN Pediatrics (Remote) New York RN License Required 110K Fully remote opportunity Pediatric Utilization Management focus Fast interview processLocation: Remote Must hold active New York RN licenseJob Type: Full-TimeDepartment: Utilization ManagementAbout UsMorgan Stephens...

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...

DescriptionAdministrative Assistant Mount Sinai West Utilization Management FT Days M-F 8a-4pBasic level support to the manager or supervisor as related to day to day operations of the office or department. Duties include reception word processing entry level spreadsheet preparation data entry minut...