Utilization Review Jobs in USA

DescriptionFacility Name: Northeast Georgia Rehabilitation HospitalSchedule: Days PRN (as needed on Tuesday Thursday and occasional weekends)Your experience mattersNortheast Georgia Rehabilitation Hospitalis part of Lifepoint Health a diversified healthcare delivery network with facilities coast to...

Weekly outpatient therapy isnt always enough and a trip to the ER isnt the only answer. Patients and their families rely on CompassHealth Center whenincrisis every day wehelp people overcome depression anxiety suicidality obsessions/compulsions trauma chronic pain and other obstacles in order for o...

Requisition Number: 513885Why North Memorial Health At North Memorial Health youre part of an inclusive health team that is rooted in our values: Advocate Courageously Rally Together Respect Uniqueness and Create Impact. Empathy and care are at the heart of Norths culture which is designed to active...

City/StateWilliamsburg VAWork ShiftFirst (Days)Overview:OverviewReporting to the division president and as a member of the division leadership team the VP Chief Medical Officer is accountable for the clinical performance improvement including the promotion of clinical appropriateness the reduction o...

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC your contributions matter and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% p...

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC your contributions matter and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% p...

Department:02040 ABHC Advanced New Berlin - Behavioral HealthStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:First shift hybrid position at the New Berlin location.Pay Range:$35.50 - $53.25Major Responsibilities:Provides quality individual couple family...

Department:02040 ABHC North Shore - Behavioral HealthStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Monday-Friday hours. Hybrid position with remote and in person care.Pay Range:$35.50 - $53.25Major Responsibilities:Provides quality individual couple f...

We are looking for coverage in our Orthopedic outpatient hand therapy clinic. Physical Therapists are responsible for the evaluation of patients referred for physical therapy treatment formulation of a treatment plan and goals and administration of the physical therapy treatments. They will be activ...

We are looking for coverage in our Orthopedic outpatient hand therapy clinic. Physical Therapists are responsible for the evaluation of patients referred for physical therapy treatment formulation of a treatment plan and goals and administration of the physical therapy treatments. They will be activ...

We are looking for coverage in our Orthopedic outpatient hand therapy clinic. Physical Therapists are responsible for the evaluation of patients referred for physical therapy treatment formulation of a treatment plan and goals and administration of the physical therapy treatments. They will be activ...

We are looking for coverage in our Orthopedic outpatient hand therapy clinic. Physical Therapists are responsible for the evaluation of patients referred for physical therapy treatment formulation of a treatment plan and goals and administration of the physical therapy treatments. They will be activ...

A leading healthcare organization in Houston is seeking an experienced Manager of Emergency Department (ED) & Observation Case Management to provide leadership and oversight for a high-performing case management team.This leadership role is responsible for coordinating and managing daily operations...

Travel Occupational Therapist (OT)- Long Term Care (LTC) (Days)Mobile Health Team Inc. is seeking an experienced Occupational Therapist (OT)- Long Term Care (LTC) for a 13-week travel assignment in Moore OK.Contract DetailsM-F 8 hr days. Times are flexible as long as consistent and communicated with...

SummaryResearches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents decisions within ma...

Are you a current UMass Memorial Health caregiver Apply now through Workday.Exemption Status:ExemptHiring Range:$84011.20 - $176987.20Please note that the final offer may vary within this range based on a candidates experience skills qualifications and internal equity considerations.Schedule Detail...

Location:Tallgrass Creek by Erickson Senior LivingJoin our team as the Assistant Director of Nursing is responsible for clinical leadership and outcomes within our Skilled Assisted Living and Memory Care neighborhoods.What we offer A culture of diversity inclusion equity and belonging which builds o...

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...

Location:Geisinger Medical Center (GMC)Shift:Days (United States of America)Scheduled Weekly Hours:40Worker Type:RegularExemption Status:YesJob Summary:Functions as a pharmacist at the Retail Site Pharmacy and provides efficient accurate and safe medication services to patient/customers by filling p...

DATE: June 23 2026POSITION: Clinical CoordinatorUtilization ManagementDEPARTMENT: Clinical ServicesRATE: $28.26 per hour with potential for additional compensation based on qualifications.POSITION SUMMARY:Performs assigned clinical functions in accordance with Upper Peninsula Health Plan (UPHP) plan...