Utilization Management Jobs in USA

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...

OverviewThis posting is open exclusively to current AL DOC incumbent employees.Your 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 pa...

In the assigned Job Role of Technology Consultant 2 your Area Of Responsibility will be as below: Contribute to the requirements elicitation process by documenting assigned parts of business requirements in line with guidance provided Facilitate software application design discussions and docume...

OverviewThis posting is open exclusively to current AL DOC incumbent employees.Your 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 pa...

In the assigned Job Role of Technology Consultant 2 your Area Of Responsibility will be as below: Contribute to the requirements elicitation process by documenting assigned parts of business requirements in line with guidance provided Facilitate software application design discussions and docume...

Department:70519 Atrium Health Union - Mobile Integrated HealthStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Employee will work at least 40 hours within a standard two-week pay period upon successful completion of initial onboarding.Pay Range$26.55 -...

MinUSD $16.50/Hr.MaxUSD $24.82/Hr.OverviewThe Insurance Pre-Authorization Specialist I is responsible for completing prior authorizations pre-certifications and notifications for third-party and government payers across all pre-scheduled elective inpatient admissions direct admits emergency room adm...

MinUSD $16.50/Hr.MaxUSD $24.82/Hr.OverviewThe Insurance Pre-Authorization Specialist I is responsible for completing prior authorizations pre-certifications and notifications for third-party and government payers across all pre-scheduled elective inpatient admissions direct admits emergency room adm...

This is a remote position.Epic Tapestry Analyst:Position Type: Direct Hire (Remote)Position OverviewEpic Tapestry Analyst: Build and configure for the enhancements and capital projects within the Tapestry UM module area specifically Service Authorizations. Qualifications Required Must have...

Seeking a Compassionate Medical Director in Indianapolis INResidential Mental Health & Addiction Medicine ServicesMedical Director: A Legacy of Healing and Clinical ExcellenceAs a Medical Director you wont just follow protocolsyou will be the architect of life-saving clinical pathways and the mentor...

This position is in the ED: 6:00pm -2:00AM. Monday through Friday.  No weekends /holidays. This is not a remote position.  The Utilization Management RN reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all rel...

The Sr. Director Health Plan Relationships is the executive owner of assigned self-insured health plan client relationships and serves as the primary liaison between client leadership and internal operations. This role is accountable for seamless client transition from Sales through implementation a...

The Social Worker LSW 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.Responsibilities:Psychosocial Assessment...

Job Title: Market Physician Executive (MPE)Location: Ideal candidate would live in New Jersey (Camden Atlantic City Burlington Gloucester Cumberland)Base salary: generally lands around $280000$300000Bonus structure: up to 25% total Up to 2.5% quarterly tied to territory performanceUp to 10% annual t...

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...

Matrix Providers is hiring a Registered Nurse - Utilization Management to join our team of talented professionals who provide health care services to our Military Service Members and their families in at Buckley AFB Aurora CO.Employment Status: Full TimeCompensation: $36.57 - $51.96 per hourBenefits...

OUR COMMITMENT TO A HUMAN HIRING PROCESSWe believe every candidate deserves thoughtful wedo not use AI or automated systems toreview applications. Every application is reviewed bya realhumanmember of our team. Because we take the time to give each submission the attention it deserves our review pro...

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. Were proud to offer many development and advancement opportunities to our nearly 50000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footp...

Site: Mass General Brigham Health Plan Holding Company Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and com...

Site: Mass General Brigham Health Plan Holding Company Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and com...