Utilization Management Jobs in USA

Scope of Work: Under general direction integrates cost quality and utilization to facilitate the admission continued stay and discharge of the patient. Reviews and evaluates appropriateness of admission or continued stay based on medical necessity. The overall goal of the position is to enhance the...

Position: Director of Case Management Acute Care (Leadership Role)Location: Nashville TNCompensation & BenefitsSalary Range: $109762 $135000 (commensurate with experience)Annual Incentive Bonus: Up to 17.5%Sign-On Bonus: $10000Relocation Assistance: Available on a case-by-case basisSchedule: Full-...

OverviewJOB SUMMARY: The Case Manager uses InterQual criteria to evaluate the appropriateness of admissions concurrent stay and readiness for discharge. She/he assures correct level of care: critical telemetry acute observation for all patients. The Case Manager provides an efficient coordinated app...

OverviewBe inspired. Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your care...

Department OverviewThe Administrative Director of Care Management provides strategic and operational leadership to ensure the provision of high quality safe healthcare and customer service to patients and families in need of Care Management services. The Administrative Director will partner with hos...

Anticipated End Date:Position Title:Manager Behavioral Health Services (Chester Co. PA)Job Description:Manager Behavioral Health ServicesLOCATION: This position requires 3 days per week in-office. You must reside in or very near Chester County PA.HOURS: General business hours Monday through Friday....

OverviewSelect Medical Madison Rehabilitation Hospital*A joint venture with Select Medical & Hospital*Madison WisconsinCase Manager (RN SW RT LPN)M-F 8HR Shifts *As Needed Basis*Why Join UsStart Strong: Extensive and thorough orientation program to ensure a smooth transition into our settingRecharge...

OverviewSelect Medical Madison Rehabilitation Hospital*A joint venture with Select Medical & Hospital*Madison WisconsinCase Manager (RN SW RT LPN)M-F 8HR Shifts *As Needed Basis*Why Join UsStart Strong: Extensive and thorough orientation program to ensure a smooth transition into our settingRecharge...

OverviewSelect Medical Madison Rehabilitation Hospital*A joint venture with Select Medical & Hospital*Madison WisconsinCase Manager (RN SW RT LPN)M-F 8HR Shifts *As Needed Basis*Why Join UsStart Strong: Extensive and thorough orientation program to ensure a smooth transition into our settingRecharge...

OverviewSelect Medical Madison Rehabilitation Hospital*A joint venture with Select Medical & Hospital*Madison WisconsinCase Manager (RN SW RT LPN)M-F 8HR Shifts *As Needed Basis*Why Join UsStart Strong: Extensive and thorough orientation program to ensure a smooth transition into our settingRecharge...

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...

DescriptionThe Financial Counselor screens uninsured patients for Medicaid and financial assistance and evaluates the patients ability to pay for services. The Financial Counselor performs administrative and support activities relative to payment for services rendered to insured patients including c...

DescriptionUnder the supervision of the Genetic Counselor Supervisor the Genetic Counseling Assistant (GCA) provides specialized support to the genetic counselors in the Departments of Clinical Genomics Laboratory Medicine and Pathology and the Center for Individualized Medicine. Individuals within...

DescriptionLifepoint Behavioral HealthSocial Worker (LMSW) Behavioral healthLocation: National Park Medical Center - 1911 Malvern Ave Hot Springs AR 71901Shift:Bonus: (If Applicable)Your experience mattersLifepoint Rehabilitation is part of Lifepoint Health a diversified healthcare delivery network...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case ManagerFull Time: Monday-Friday 8-5pmRequires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).AndPrevious...

DATE: April 8 2026POSITION: Health Data Analyst IDEPARTMENT: Information SystemsBASE RATE: $25.00 per hour with potential for additional compensation based on qualificationsPOSITION SUMMARY: This position is responsible for analyzing health plan data related to health services delivery health-care c...

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...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case ManagerFull Time: Monday-Friday 8-5pmRequires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).AndPrevious...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)$10000 Sign On BonusCase ManagerFull Time: Monday-Friday 8-5pmRequires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guid...

The PMO Manager is responsible for the successful execution of projects ensuring process adherence individual team member development and creating a positive work environment. The PMO manager works closely with Engineering Regional Managers Finance and Account Teams to build strong relationships lea...