Utilization Management Jobs in USA

Position Summary Qualified candidates must have at least 3 years of full-time Director of Case Management experience They would also really like to see that certificate in case management and experience in Utilization Review BHDDH is expanding their Case Management Program at Eleanor Slater Hospita...

OverviewYour job is secure. This process simply allows us to enter your information into NaphCares payroll system quickly and accurately. After your submission you will receive a confirmation letter outlining your position and pay details for your to electronically sign. If you have any questions pl...

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...

OverviewNaphCare Alabama Prisons LLC is hiringa Regional Utilization Management Registered Nursejust like you for our Regional Office located in Montgomery AL where we manage all aspects of healthcare for the individuals who are currently incarcerated in the Alabama Department of Corrections.As a Re...

TITLE: Utilization Management Physician (UMP)Location: RemoteEmployment Type: Full-TimePosition SummaryA leading healthcare organization is seeking a Utilization Management Physician (UMP) for a full-time remote role. This position requires strong clinical judgment critical thinking and effective co...

The Director Medical Reviews position is responsible for conducting medical necessity reviews in the context of utilization management and appeals and managing the development and implementation of quality improvement initiatives.Duties & Responsibilities:The Medical Director will assess/review requ...

OverviewBaylor Scott & White Institute for RehabilitationJoint venture with Select MedicalTemple TXCase Manager/Medical Social Worker*LMSW or LBSW preferred*FulltimeMonday - Friday8am - 5pmOur Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate care to best addr...

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 SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

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...

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...

OverviewThe Care Coordinator is a member of the multidisciplinary team that actively facilitates those functions that move a patient through an acute episode of care and links to internal and external resources and the payor community. The Care Coordinator assumes responsibility and leads the proces...

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...

OverviewThe Care Coordinator is a member of the multidisciplinary team that actively facilitates those functions that move a patient through an acute episode of care and links to internal and external resources and the payor community. The Care Coordinator assumes responsibility and leads the proces...