Utilization Management Jobs in USA

Employment Type:Full timeShift:Day ShiftDescription:Full Time or Part Time availability in PATIENT LOGISTICSSt. Peters Hospital in Albany NY is looking for an experienced RN to work as a Registered Professional Nurse as part of the C3 Patient Logistics team full time days. The team is willing to hel...

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in compliance with Astrana Health policies NCQA standards health plan requirements and federal and state...

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...

Employment Type:Full timeShift:Night ShiftDescription:Full Time or Part Time Night availability in PATIENT LOGISTICSSt. Peters Hospital in Albany NY is looking for an experienced RN to work as a Registered Professional Nurse as part of the C3 Patient Logistics team full time days. The team is willin...

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...

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...

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experi...

Lifekind Health is looking for an experienced Licensed Marriage & Family Therapist (LMFT) to join our team per diem. Deliver evidence-based psychological and behavioral health services to patients receiving care in a transdisciplinary pain management setting. This role collaborates closely with medi...

Summary: Location: Monarch Place; Springfield MA (MA & CT candidates only)Schedule: Monday-Friday; fulltime; 40hrs.Job Responsibilities:Develops and implements risk adjustment strategy policies and standard operating proceduresCollaborates with physicians mid-level providers other personnel includin...

Lifekind Health is looking for an experienced Licensed Clinical Social Worker (LCSW) to join our team per diem. Deliver evidence-based psychological and behavioral health services to patients receiving care in a transdisciplinary pain management setting. This role collaborates closely with medical p...

Lifekind Health is looking for an experienced Licensed Clinical Social Worker (LCSW) to join our team in San Jacinto. Deliver evidence-based psychological and behavioral health services to patients receiving care in a transdisciplinary pain management setting. This role collaborates closely with med...

Lifekind Health is looking for an experienced Licensed Clinical Social Worker (LCSW) to join our team per diem. Deliver evidence-based psychological and behavioral health services to patients receiving care in a transdisciplinary pain management setting. This role collaborates closely with medical p...

Lifekind Health is looking for an experienced Licensed Marriage & Family Therapist (LMFT) to join our team per diem. Deliver evidence-based psychological and behavioral health services to patients receiving care in a transdisciplinary pain management setting. This role collaborates closely with medi...

Job Title: Provider Network Manager Department: Network ManagementAbout the Role: The Provider Network Manager is responsible for managing and optimizing assigned segments of the provider network in San Fernando Valley to ensure adequate access strong provider performance and alignment with organiza...

Lifekind Health is looking for an experienced Licensed Clinical Social Worker (LCSW) to join our team per diem. Deliver evidence-based psychological and behavioral health services to patients receiving care in a transdisciplinary pain management setting. This role collaborates closely with medical p...

Lifekind Health is looking for an experienced Licensed Marriage & Family Therapist (LMFT) to join our team per diem. Deliver evidence-based psychological and behavioral health services to patients receiving care in a transdisciplinary pain management setting. This role collaborates closely with medi...

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...