Utilization Review Jobs in USA

Counselor Adolescent OutpatientReports To:Manager of Counselor Based Services - EastRequired Qualifications:Licensed Masters Addictions Counselor (LMAC)One year addiction counseling experiencePreferred Qualifications:Licensed Clinical Addictions Counselor (LCAC)Licensed Master Social Worker (LMSW)...

OverviewRBTs come join our team! KORT Kids Louisville KY is growing!KORT Kids Louisville KY is a growing multi-disciplinary clinic that offers ABA Speech Therapy Occupational Therapy and Physical Therapy. Our ABA team offers both clinic-based services under the direction of a Board Certified Behavio...

Our CompanyRehab Without Walls Neuro RehabilitationOverviewLead Physical Therapist (PT) Neuro RehabilitationWho were looking for:Experienced PT ready to expand their impact on both patient outcomes and clinical team successHybrid role combining direct patient care and peer supportKnowledge and expe...

The Johns Hopkins Health System Corporation (JHHS) is a not-for-profit organization academically based health system dedicated to providing the highest quality patient health care in the treatment and prevention of human illness.What awaits you:Room for growthMedical Dental and Vision Insurance.403B...

OverviewThe Senior Vice President (SVP) of Managed Care leads enterprise-wide managed care strategy including contracting reimbursement optimization and payor partnerships across PAM Healths multi-state post-acute care platform. This role drives financial performance supports patient access and ensu...

The Johns Hopkins Health System Corporation (JHHS) is a not-for-profit organization academically based health system dedicated to providing the highest quality patient health care in the treatment and prevention of human illness.What awaits you:Room for growthMedical Dental and Vision Insurance.403B...

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care of assigned patients and associated staff in accordance with physician orders and the plan of care per state Practice this role you will report to the Director of Nursing/Director of Patient Care Servi...

DescriptionBehavioral Healthcare CoordinatorJoin our team at FSS and enjoy comprehensive benefits including but not limited to:Tuition Reimbursement: Earn up to $5250 per qualifying year to invest in your education.Health Insurance: Choose from fourcomprehensive Florida Blue health insurance plans t...

Evening Shift ONLY: Monday - Friday 4pm - 12amThe Clinical Care Manager is responsible for utilization management by conducting utilization review activities population management cross-system consultation provider management and treatment quality monitoring.The Clinical Care Manager must utilize cl...

Site: The Brigham and Womens Hospital 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 community service st...

Anticipated End Date:Position Title:Medical Management Nurse (US)Job Description:Medical Management NurseHours: Monday- Friday 8am- 5pm CST some holidays may be required*Candidate must reside in Missouri*Location: This role enables associates to work virtually full-time with the exception of require...

The Clinical Care Manager (CCM) Specialist- Childrens Complex Care (High-Fidelity Wraparound) is part of a specialized team responsible for providing high intensity care management that works collaboratively and directly with members and providers to ensure effective holistic member-centric care.The...

Psychiatric Mental Health Nurse PractitionerFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient patient-centered medical homes medication-assisted tre...

OverviewThe Senior Vice President (SVP) of Managed Care leads enterprise-wide managed care strategy including contracting reimbursement optimization and payor partnerships across PAM Healths multi-state post-acute care platform. This role drives financial performance supports patient access and ensu...

About Ambulatory Pharmacy Geriatric Clinic / Advanced Primary CareSpecialized Care and Support for SeniorsIf you are 64 or older and have health problems like diabetes high blood pressure heart disease or COPD Advanced Primary Care has everything you need in one place. Designed with seniors in mind...

Psychiatric Mental Health Nurse Practitioner (PT Onsite PMHNP for ages 15 and up predominately adults.) Community Bridges INCThe schedule is Mon/Wed/Friday Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout A...

At Zelis we Get Stuff Done. So lets get to it!A Little About UsZelis is modernizing the healthcare financial experience across payers providers and healthcare consumers. We serve more than 750 payers including the top five national health plans regional health plans TPAs and millions of healthcare p...

Job DetailsJefferson Health is seeking a dynamic and strategic Associate Chief Medical Officer (ACMO) to provide clinical and operational leadership across hospital and community-based settings. This highly visible leadership role blends traditional medical staff oversight with a forward-looking fo...

Department:36603 Advocate Illinois Masonic Medical Center - Behavioral Health O/P: AdultStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Will include a minimum of six non-traditional hours; at least four hours required every Saturday and 2 evening hours...

Job Description and QualificationsJob Profile:General and Community Pediatric Faculty (Open Rank) Department of Pediatrics Division of General and Community PediatricsPosition Summary:The Department of Pedaitrics at the Medical College of Wisconsin (MCW) and Childrens Wisconsin CW seeks a board ce...