Utilization Management Jobs in USA

OverviewThe University of Massachusetts Chan Medical School (UMass Chan) seeks a board-certified psychiatrist to serve as the Facility Medical Director (FMD) for The Cape Cod and the Islands Community Mental Health Center in Pocasset MA. Successful candidates will receive a faculty appointment that...

OverviewThe University of Massachusetts Chan Medical School (UMass Chan) seeks a board-certified psychiatrist to serve as the Facility Medical Director (FMD) for The Cape Cod and the Islands Community Mental Health Center in Pocasset MA. Successful candidates will receive a faculty appointment that...

The Manager of Case Management is responsible and accountable to assist the Director of Case Management in the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation Utilization Manag...

The Operations Manager is responsible for the overall performance of Pedone Pinsas production operation including safety quality service productivity labor utilization inventory management and continuous improvement. This newly created role provides leadership to Supervisors Leads and production tea...

RN Director of Case Management Confidential Acute Care Leadership Opportunity Western Montana $112000$150000 Base Salary $20000 Sign-On Bonus Relocation Assistance If youre an experienced Case Management leader looking to make a meaningful impact while enjoying an exceptional quality of life this...

RN Director of Case Management Confidential Acute Care Leadership Opportunity Western Montana $112000$150000 Base Salary $20000 Sign-On Bonus Relocation Assistance If youre an experienced Case Management leader looking to make a meaningful impact while enjoying an exceptional quality of life this...

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...

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 Title: Availity QE Lead (Claims & Provider E2E Testing)Work Location: HartfordCT6156Vendor Rate: 51.80Contract duration: 12Target Start Date: 01 Jul 2026Does this position require Visa independent candidates only YES**hybrid work set-up**Job Details:Must Have SkillsPayer provider integration w...

Job Title: Availity QE Lead (Claims & Provider E2E Testing)Work Location: HartfordCT6156Vendor Rate: 51.80Contract duration: 12Target Start Date: 01 Jul 2026Does this position require Visa independent candidates only YES**hybrid work set-up**Job Details:Must Have SkillsPayer provider integration w...

Job Title: QE Lead (Enterprise Transformation Testing Broadcom Exit Program)Work Location: HartfordCT6156Vendor Rate: 58.00Contract duration: 12Target Start Date: 01 Jul 2026Does this position require Visa independent candidates only YES**hybrid work set-up**Job Details:Must Have SkillsQA Strate...

Job Title: QE Lead (Enterprise Transformation Testing Broadcom Exit Program)Work Location: HartfordCT6156Vendor Rate: 58.00Contract duration: 12Target Start Date: 01 Jul 2026Does this position require Visa independent candidates only YES**hybrid work set-up**Job Details:Must Have SkillsQA Strate...

Requisition Number: 513885Why North Memorial Health At North Memorial Health youre part of an inclusive health team that is rooted in our values: Advocate Courageously Rally Together Respect Uniqueness and Create Impact. Empathy and care are at the heart of Norths culture which is designed to active...

City/StateCarrollton VAWork ShiftFirst (Days)Provider SpecialtyUrgent CareOverview:The Urgent Care APP (NP or PA) is responsible for the provision of health care services to individuals families and/or groups who receive their care under the auspices of Sentara Medical Group (SMG). Health care servi...

Employment Type:Full timeShift:Day ShiftDescription:The Nursing Manager will have oversight of Care Management team.Why Choose Saint Joseph Health SystemAt Saint Joseph Health System our values guide every decision we make. Even when challenges arise we remain committed to our mission: caring for ev...

City/StateWilliamsburg VAWork ShiftFirst (Days)Overview:OverviewReporting to the division president and as a member of the division leadership team the VP Chief Medical Officer is accountable for the clinical performance improvement including the promotion of clinical appropriateness the reduction o...