Utilization Management Jobs in USA

Field Sales Account Executive - Matterport - Salt Lake City UTJob DescriptionCoStar Group (NASDAQ: CSGP) is a leading global provider of commercial and residential real estate information analytics and online marketplaces. Included in the S&P 500 Index and the NASDAQ 100 CoStar Group is on a mission...

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...

Anticipated End Date:Position Title:Nurse Case Mgr Sr-PediatricsJob 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 structure...

RN - Registered Nurse Needs ASAP Location: Rocky Mount. NC Shifts: 7:00 am - 3:00 pm Length: 13-week contract with an option to extend Start date: ASAP Pay Rates: No housing - Local: $58/hr With housing (50 miles away from permanent): $48/hr Housing stipend: $30/hr (taxable) $...

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:8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours:40&#x...

Works with case managers social workers and Access coordinators to coordinate case management discharge planning activities and patient placement activities. Coordinates the transfer of information to agencies and facilities in support of timely and safe patient discharges. Makes phone calls to pati...

Works with case managers social workers and Access coordinators to coordinate case management discharge planning activities and patient placement activities. Coordinates the transfer of information to agencies and facilities in support of timely and safe patient discharges. Makes phone calls to pati...

Works with case managers social workers and Access coordinators to coordinate case management discharge planning activities and patient placement activities. Coordinates the transfer of information to agencies and facilities in support of timely and safe patient discharges. Makes phone calls to pati...

DescriptionGeneral SummaryPerforms a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to facilitate a patients progression of care and the provision of appropriate cost effective and quality health care. Works in a team model w...

Director of Case Management Des Moines IowaThe RN Director of Case Management drives continuous improvement in patient care and services through collaborative patient-centered practices and strong community engagement. This Director of Case Management leader oversees a high-performing team of clinic...

The Clinical Care Manager is responsible for utilization management by conducting utilization review activities population management cross-system consultation provider management and treatment quality monitoring.The Clinical Care Manager must utilize clinical knowledge of best practices and evidenc...

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services this position you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria respective to various Health Plans.This position...

DescriptionService Utilization SpecialistJoin our team at FSS and enjoy comprehensive benefits including but not limited to:Tuition ReimbursementHealth InsuranceDental InsuranceVision InsuranceLife InsuranceWell-Being ProgramPaid Time Off (PTO)Bereavement Leave12 Paid HolidaysFlexible Spending Accou...

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...

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...

Employment Type:Full timeShift:Day ShiftDescription:Job Title:RN Readmission NavigatorEmployment Type:Full-time (On-site)Shift:Monday - Friday Day ShiftLocation: Mercy Fitzgerald HospitalPosition Purpose:Responsible for driving hospital-wide initiatives to reduce 30-day readmissions and improve pati...

Title: Academic Scheduling CoordinatorNumber of Positions:1Department: Academic ServicesClassification: 3 on campusPay Rate:$$49190 - $60880/per year. Pay will be determined based on related work experience above required. To be considered in determining pay all related work experience must be list...

REMOTE position: Mon- Fri 8am-5:00pm no weekends no holidays. Essential Functions-Supervise and support a team of care coordinators and case managers ensuring they adhere to clinical standards and protocols. -Develop and implement strategies to enhance the efficiency and effectiveness of clinical ca...