Utilization Management Jobs in USA

Its more than a career its a callingWI-SSM Health St. Marys Hospital - MadisonWorker Type:RegularJob Highlights:Schedule: Monday - Friday 8:00 am - 4:30 pm with every 12th weekend rotation and 1 required holiday per yearPrior Case Management and/or Med/Surg or Post-Acute hospital experience preferre...

We are recruiting for a mission-driven Registered Nurse Utilization Coordinator - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) to join our team!Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every da...

We are recruiting for a mission-driven Registered Nurse Utilization Coordinator - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) to join our team!Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every da...

Job Family:Patient Access GeneralTravel Required:NoneClearance Required:NoneWhat You Will Do:The Patient Access Representative Notification of Admission Specialist supports Guidehouses healthcare revenue cycle operations by completing accurate timely payer notifications for inpatient and observatio...

Department:11229 Carolinas Medical Center - Care ManagementStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:8a-4:30pPay Range:$47.50 - $71.25Job Profile SummaryProvides leadership and oversight of the Care Management (CM)/Social Work (SW) program and sta...

At York Hospital were more than a hospital. We are a team of providers clinicians and staff members offering expertise within a Hospital setting our community sites and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers commitment is to make a positive differen...

Role: Technical Product Manager Location: MinneapolisMN. Hybrid 3 days onsite per week W2 Position Name Healthcare HIPAA JD: Required Experience (Healthcare Focus) 10 years of experience in technology product management or platform product roles Proven tra...

Senior Epic Tapestry Consultant (Utilization Management / Managed Care) Remote 6-12 months CTH Role Overview Seeking an experienced Epic Tapestry Certified Consultant to support Utilization Management (UM) workflows within a Managed Care environment. This role involves handson configuration testing...

Registered Nurse Looking for Utilization Management AND Education experience.Scope of work: In conjunction with Medical Management leadership coordinates the educational plan for the Behavioral Health Care Management and Utilization Management departments. Stakeholders include staff physicians depar...

Associate Medical Director Behavioral Health or Utilization Management Medical Director DOEHybridrole(3days/weekin office)atour Burlington Renton Spokane Vancouver Portland Medford Salt Lake City Boise Lewiston or Fargooffices. Candidates must reside within commutable distance of that location or be...

Associate Medical Director Behavioral Health or Utilization Management Medical Director DOEHybridrole(3days/weekin office)atour Burlington Renton Spokane Vancouver Portland Medford Salt Lake City Boise Lewiston or Fargooffices. Candidates must reside within commutable distance of that location or be...

Site: Mass General Brigham Health Plan Holding Company Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and com...

Find your calling at Mercy!The Care Manager as part of the interdisciplinary team assess plans advocates and coordinates care from admission to discharge ensuring a safe transition post hospitalization. Performs duties and responsibilities in a manner consistent with the Mercy mission values and se...

OverviewHospital Name: OhioHealth Rehabilitation HospitalJoint venture/Partnership/Affiliation with Select MedicalPosition: Case ManagerLocation: Columbus OHSchedule:Per DiemCompensation: $40.00 per hourOur Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate car...

Job Title:Pharmacy Technician (Outpatient)Location: Portland ORType: Local or Travel Contract (26 Weeks)Shift & Schedule: Day Shift 5 x 8-Hour Shifts 40 Hours Per Week 8:00 AM 5:00 PM On-Call: 23 Weekends per YearPay Rate:Local: $30 - $34/hrTravel: $35 - $41/hr Including Stipend (Based on Exper...

Anticipated End Date:Position Title:Pharmacy Account Director - Commercial Employer GroupJob Description:Pharmacy Account Director - Commercial Employer Group Field: This field-based role enables associates to primarilyoperatein the field traveling to client sites or designated locations as their ro...

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...

About the Role: The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider lifecycle activities supporting network performance initiatives and serving as a key...

About the Role: The Provider Network Manager is responsible for managing and optimizing assigned segments of the provider network to ensure adequate access strong provider performance and alignment with organizational quality financial and growth objectives. This role serves as a key operational and...

Benefits:401(k)Dental insuranceHealth insuranceOpportunity for advancementPaid time offParental leaveTraining & developmentAre you looking for a change of pace Do you have a passion for helping people Look no further!Pinnacle Peak Recovery is a mental health and substance use treatment provider loca...