Utilization Management Jobs in USA

Primary Location: Work from Home - KYAddress: P.O. Box 909 Louisville KY 40201-0909 Shift: Salary Shift (United States of America)Job Description Summary: UofL Health is a fully integrated regional academic health system with five hospitals four medical centers nearly 200 physician practice...

Its more than a career its a callingMO-SSM Health St. Marys Hospital - St. LouisWorker Type:RegularJob Highlights:Location: St. Marys Hospital - St. LouisSchedule: Monday-Friday 8am-4:30pmRequirements: Active MO RN License or RN Compact State; three years acute care experienceWould you like to take...

OverviewEmergency Department Patient Registration Specialist Admitting and RegistrationFull Time 80 Hours per pay period Variable ShiftsParkwest Overview:Parkwest Medical Center Covenant Healths flagship facility in West Knoxville combines world-class cardiacexpertisewith the warmth of home in serv...

Its more than a career its a callingMO-SSM Health St. Marys Hospital - St. LouisWorker Type:RegularJob Highlights:Location: St. Marys Hospital - St. LouisSchedule: Monday-Friday 8am-4:30pmRequirements: Active MO RN License or RN Compact State; three years acute care experienceWould you like to take...

Job DescriptionThe Head Enterprise Clinical Innovation will be responsible for activating and scaling innovation across our family of consumer-focused healthcare solution companies and partners. Success in this role means consistently looking up & wide to identify innovations translate them into pil...

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards as a...

Exemption Status:United States of America (Exempt)$102260 - $140608 - $178955Pay scale information is not necessarily reflective of actual compensation that may be earned nor a promise of any specific pay for any selected candidate or employee which is always dependent on actual experience education...

Manager Care Management Full-Time Leadership Role Position Overview Athena Health Care is seeking an experienced Manager of Care Management to lead and oversee all functions within the Care Management Department. This role is responsible for the strategic and operational management of care coordina...

AI Job Summary: Contract CoordinatorLocation: Fountain Valley CA 92708 Job Type: Contract (92 days) Bill Rate: $38.25/hrRole Impact & Expectations:The Contract Coordinator serves as a vital link in the contract lifecycle ensuring accurate development execution and tracking of provider contracts. Thi...

Position Title: Contract Coordinator Location: 18035 Brookhurst St Suite 2100 Fountain Valley CA 92708 Duration: 3 months Hours per Week: 40 (8 hrs/day) Pay: $25/hr on W2 Job Description Summary: Requirements High school diploma or equivalent Must be able to start the role ONSITE for trai...

Job Title: Licensed Practical Nurse Location (Onsite Remote or Hybrid): Rutland VT (onsite) Contract Duration: 15 weeks Working Hours: 2:00 PM - 10:30 PM Total Weekly Hours: 40 POSITION SUMMARY: Under the direction of a Registered Nurse (RN) the Licensed Practical Nurse delivers efficient...

Job Description: Summary:Under the guidance of the Clinical Pharmacists other clinical team members and divisional management this position supports and participates in a wide range of provider customer and staff initiatives/programs including Utilization Management; Quality/Disease Management; Drug...

Anticipated End Date:Position Title:Behavioral Health Care Manager (Utilization Management)Job Description:Behavioral Health Care Manager ILocation: Virtual Colorado This role enables associates to work virtually full-time except for required in-person training sessions providing maximum flexibility...

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...

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!Our Care Management model is central to delivering high-quality patient-centered care. We focus on seamless transitions safe discharges and collaborative care planningalways keeping patient well-being and healthcare excellence at the forefront.As a Care Manager youll guide...

DescriptionSalary: $105k-$115k (plus up to $30000 in annual incentives based on performance)Job MissionThe mission of the Senior Clinical Director at ACES is to elevate the standards in the treatment of Autism by managing the effective and efficient implementation of services provided by staff membe...

OverviewSelect Specialty HospitalInpatient Rehab Floor$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 guidelines).AndPrevious d...

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...