Utilization Management Jobs in USA

OverviewCalifornia Rehab Institute*A Joint Venture with Cedars UCLA and Select Medical*Century City / Los Angeles CACase Manager (CM) - Full Time (on-site) - 8 hr shiftsMon - Fri 8am - 4:30pmRegistered Nurse (RN) or Licensed Clinical Social Worker (LCSW)Pay Rate: $50 - $58.65 depends on experience**...

OPEN JOB: Manager - Case Management RN LOCATION:Everett WashingtonSALARY: $141461 to $223288JOB DESCRIPTIONThe Manager RN Case Management is responsible for the daily management and organization of all activities and staff within the Case Management Department including care coordination case manage...

Employment Type:Full timeShift:Day ShiftDescription:Full-Time Occupational Therapist LiaisonIf you are an Occupational Therapist looking for a different type of Occupational Therapy position this opportunity located at St. Peters Hospital is for you. This position is a member of the Complex Care int...

OPEN JOB: Manager Care Management - Social WorkLOCATION:Everett Washington (right outside of Seattle)***Relocation Assistance Available BASE SALARY: $113000 to $178630EMPLOYER: 500 Bed Acute Care HospitalIDEAL CANDIDATE:At least 6 years of experience in Case Management in an acute care settingAt lea...

People. Passion. Purpose.At P3 Health Partners our promise is to guide our communities to better health unburden clinicians align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health ca...

OverviewCalifornia Rehab Institute*A Joint Venture with Cedars UCLA and Select Medical*Century City / Los Angeles CACase Manager (CM) - Full Time (on-site) - 8 hr shiftsMon - Fri 8am - 4:30pmRegistered Nurse (RN) or Licensed Clinical Social Worker (LCSW)Pay Rate: $50 - $58.65 depends on experience**...

POSITION SUMMARY:Utilizing a collaborative process the care manager will assess plan implement monitor and evaluate the options and services required to meet an individuals health needs using communication and available resources to promote quality cost-effective outcomes. The care manager helps ide...

People. Passion. Purpose.At P3 Health Partners our promise is to guide our communities to better health unburden clinicians align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health ca...

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...

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...

ENL Case ManagementCompensation range:$22.34 - $28.60Your rate of pay will be based on applicable experienceShift: Days Days off: Variable Hours per pay period: 80Shift length: 8 HoursEnloe Health is a Level II Trauma Center...

Utilization Review ManagerReports to: CEOJob Category: Salaried Exempt Full-TimeStarting Salary: $75000-$95000/year (DOE)Job Site: Remote (must reside in Colorado)Job Summary:The Utilization Review Manager is responsible for overseeing utilization review activities to ensure medical necessity regu...

Astrana Health is looking for a LVN Case Manager who has the ability to commute to our Monterey Park office at 1600 Corporate Center Drive. This position works standard day hours M-F and we are willing to train a LVN with no case management experience! You will have the ability to work with pediatri...

Our CompanyRehab in MotionOverviewThe Outpatient Site Manager (Rehab in Motion) is directly responsible for managing the business and clinical operations of assigned treatment facility. The Site Manager assures care and services provided by the team are in compliance with state and federal regulator...

Our CompanyRehab in MotionOverviewThe Outpatient Site Manager (Rehab in Motion) is directly responsible for managing the business and clinical operations of assigned treatment facility. The Site Manager assures care and services provided by the team are in compliance with state and federal regulator...

Senior Software Engineer (Agentic AI / Healthcare)Location: New York NY (Manhattan) Hybrid (3 days onsite)Compensation: $150000$250000 base equityContact / Apply:Ryan Johnston - About Our ClientOur client is a venture-backed healthcare technology company based in New York and Toronto building agent...

Our CompanyRehab in MotionOverviewThe Outpatient Site Manager (Rehab in Motion) is directly responsible for managing the business and clinical operations of assigned treatment facility. The Site Manager assures care and services provided by the team are in compliance with state and federal regulator...

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in reviewing monitoring and processing prior authorization requests while ensuring compliance with regulatory standards and health plan guidelines. The UM Coordinator will serve as a key liaiso...

Join Us in Shaping the Future of Health CareWhats in it for you:Growth opportunities to uplevel your careerA people-centric culture embracing and celebrating diverse perspectives backgrounds and experiences within our teamCompetitive compensation and comprehensive benefits focused on well-beingAn op...

Our CompanyRehab in MotionOverviewThe Outpatient Site Manager (Rehab in Motion) is directly responsible for managing the business and clinical operations of assigned treatment facility. The Site Manager assures care and services provided by the team are in compliance with state and federal regulator...