Utilization Management Jobs in USA

Anticipated End Date:Position Title:LTSS Concierge CoordinatorJob Description:LTSS Concierge Coordinator Candidate must reside within the state of Tennessee.Virtual: This role enables associates to work virtually full-time except for required in-person training sessions providing maximum flexibility...

Department:11210 AMC Grafton - Social ServicesStatus: Part timeBenefits Eligible:YesHours Per Week:20Schedule Details/Additional Information:part time - 0.5 FTE M-FWeekend and holiday rotation.Pay Range:$38.20 - $57.30Registered Nurse (RN) RN Case Manager inpatient Grafton site Where You Will Work:...

Huron helps its clients drive growth enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives enabling organizations to own the future instead of being disrupted by it. Together we empow...

Job DescriptionAt Guidehealth we are committed to creating a positive and supportive work environment where our employees can THRIVE. We value teamwork innovation technical aptitude and a dedication to providing exceptional service to our Customers. Join our team and make a difference in the lives o...

**Max Vendor Bill Rate: TBD - Please submit at competitive market rate****Onsite at Minneapolis MN**Job title: Senior Full Stack Java EngineerClient: Optum# of Positions: 1Tenure: Until 12/31/26Interview Process: Internal & ClientJob Summary:Sr Full Stack Engineer with 10 years of software programmi...

Onsite at Minneapolis MN Job title: Senior Full Stack Java Engineer Duration: 6 months Rate: Open Depends upon exp Job Summary: Sr Full Stack Engineer with 5 years of software programming experience. Responsibilities include: - UI development using React JavaScript HTML and CSS - Backend/API devel...

**Onsite at Minneapolis MN** Job title: Senior Full Stack Java Engineer # of Positions: 1 Tenure: Until 12/31/26 Interview Process: Internal & Client Job Summary: Sr Full Stack Engineer with 10 years of software programming experience. Responsibilities include: - UI development using React Java...

City/StateVirginia Beach VAWork ShiftFirst (Days)Provider SpecialtyUrgent CareOverview:The Urgent Care APP (NP or PA) is responsible for the provision of health care services to individuals families and/or groups who receive their care under the auspices of Sentara Medical Group (SMG). Health care s...

Senior IT Interface Analyst Epic Tapestry Location: Troy MI 48083 (Remote with occasional onsite travel during Go-Live) Duration: 32 Weeks Contract-to-Hire Interview Process: MS Teams 30-minute initial interview followed by panel interview Position Summary We are seeking an experienced Senio...

The Social Worker Discharge Planning 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.The Social Worker is respo...

Employment Type:Full timeShift:Day ShiftDescription:Position SummaryThe Nurse Manager Case Management provides strategic and operational leadership for inpatient care coordination case management and utilization management services. This role partners with physicians hospital leadership and system...

Scope of workProvides health information interacts and acts as a resource for providers for complex clinical situations to ensure appropriate use of preservice and concurrent acute medical and/or behavioral health care services. Assesses appropriateness of preservice and concurrent requests for admi...

About UsAtCooper University Health Care our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities equipment technologies and research protocols. W...

Find your calling at Mercy!The Care Management model provides effective transition planning and length of stay oversight while encompassing quality patient care patient safety and financial components; promotes integration of a seamless care model; coordinates patient throughput; encourages healthca...

OverviewOpportunities for you!Comprehensive relocation package and concierge serviceConsecutively recognized as a top employer by Forbes and in 2025 by NewsweekFree Continuing Education and certification including BLS ACLS and PALSTuition reimbursement educationprogramsand scholarshipsVacation time...

OverviewOpportunities for you!Comprehensive relocation package and concierge serviceConsecutively recognized as a top employer by Forbes and in 2025 by NewsweekFree Continuing Education and certification including BLS ACLS and PALSTuition reimbursement educationprogramsand scholarshipsVacation time...

DATE: June 17 2026POSITION: Clinical Administrative CoordinatorDEPARTMENT: Clinical Services Quality ManagementRATE: $22.00 per hour with the potential for additional compensation based on qualifications.POSITION SUMMARY:The Clinical Administrative Coordinator provides advanced administrative and o...

**Recruiting only in the County of Chippewa Michigan.**DATE: June 15 2026POSITION: Remote Community Based Clinical Coordinator - Care ManagerDEPARTMENT: Clinical ServicesRATE: $29.72 per hour with potential for additional compensation based on qualifications.POSITION SUMMARY:Performs assigned clinic...

About this Job The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical preventive and rehabilitative services for all residents of the State of Louisiana.Learn more about Louisiana Department of HealthThe Louisiana Department of Health (LDH)...

**Recruiting only in the County of Luce Michigan.**DATE: June 15 2026POSITION: Remote Community Based Clinical Coordinator - Care ManagerDEPARTMENT: Clinical ServicesRATE: $29.72 per hour with potential for additional compensation based on qualifications.POSITION SUMMARY:Performs assigned clinical f...