Utilization Review Jobs in USA

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Pediatric Orthodontist Claims Review

Mmc Group

profile Florham Park - USA

Remote Orthodontist & Pediatric General Dentist Opportunities - New Hampshire Medicaid ProgramFlexible Remote Consulting Roles New Hampshire Licensed Providers Part-Time HoursCompensation:Orthodontist: $145/hourPediatric General Dentist: $130/hourApproximately 50 hours per monthWe are seeking expe...

30+ days ago
Contract

Hospital Nurse Iii Um Nurse

Riverview Psychiatric Center

profile Augusta - USA

If you are a current State of Maine employee please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the States career page and indicate on the application that they have previou...

30+ days ago
Full Time

Case Manager (rn) Registered Nurse Nonexempt

Lifepoint Health

profile Henderson - USA

DescriptionCase Manager Registered Nurse - Non-Exempt Position SummaryJob Type: Full-Time Days 8am-4:30pm will need to work an occasional weekend.Location: Maria Parham Health - Henderson NCAt Maria Parham Hospital we prioritize the well-being of our team so they can provide the highest quality care...

30+ days ago
Full Time

Infection Control Nurse

State Of Texas Open Data Portal

profile Denton - USA

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...

30+ days ago
Full Time

Nurse Iii Rn Case Manager

State Of Texas Open Data Portal

profile San Antonio - USA

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...

30+ days ago
Full Time

Nurse Iii Rn Case Manager

Department Of Public Safety

profile San Antonio - USA

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...

30+ days ago
Full Time

Physical Nutritional Management Team Nurse (pnmt R...

State Of Texas Open Data Portal

profile Denton - USA

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...

30+ days ago
Full Time

Rn Case Manager Supervisor

State Of Texas Open Data Portal

profile Denton - USA

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...

30+ days ago
Full Time

Psychiatric Nurse 3

State Of Nevada

profile Las Vegas - USA

***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***Job SummaryThe Division of Public and Behavioral Health Southern Nevada Adult Mental Health (SNAMHS) is recruiting for a Psychiatric Nurse 3...

30+ days ago
Full Time

Clinical Program Planner

State Of Nevada

profile Las Vegas - USA

***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***Job SummaryThis position works in the Planning and Evaluation Unit (PEU) which is part of the Quality & Oversight branch of the Division of...

30+ days ago
Full Time

Medical Policy Analyst

Blue Cross & Blue Shield Of Rhode Island

profile Providence - USA

Pay Range:$73600.00 - $110400.00Please emailif you are a candidate seeking a reasonable accommodation for the application and/or interview process.At BCBSRI our greatest resource is our people.We come from varying backgrounds different cultures and unique experiences. We are hard-working caring and...

30+ days ago
Full Time

Emerging Risk Care Manager, Rn

Mass General Brigham

profile Somerville - USA

Site: Mass General Brigham Community Physicians 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...

30+ days ago
Full Time

Strategic Client Executive Rhp

Zelis

profile Morristown - USA

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...

30+ days ago
Full Time

Social Work Case Manager Lcsw I, Care Coordination...

Marinhealth Medical Center

profile Bon Air - USA

ABOUT MARINHEALTHAre you looking for a place where you are empowered to bring innovation to reality Join MarinHealth an integrated independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team an affiliation with UCSF Health an ever-expanding...

30+ days ago
Grant

Social Work Case Manager Msw Or Lcsw, Care Coordin...

Marinhealth Medical Center

profile Bon Air - USA

ABOUT MARINHEALTHAre you looking for a place where you are empowered to bring innovation to reality Join MarinHealth an integrated independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team an affiliation with UCSF Health an ever-expanding...

30+ days ago
Grant

Rn Utilization Review Utilization Review

University Of Mississippi Medical Center

profile Jackson - USA

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

30+ days ago
Full Time

Rn Utilization Review Utilization Review

University Of Mississippi Medical Center

profile Jackson - USA

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

30+ days ago
Full Time

Clinical Coordinator Utilization Review

Hampton-newport News Community Services Board

profile Hampton - USA

Clinical Coordinator - Utilization ReviewAnnual Salary: $62406Work Schedule: Monday - Friday 8:30 am - 5:00 pmThe Hampton - Newport News Community Services Board (CSB) is hiring a Clinical Coordinator - Utilization Review for the Region 5 Reinvestment Initiative. This full-time Clinical Coordinator...

30+ days ago
Full Time

Nurse Supervisor – Care Management Transitional Ca...

Navitaspartners

profile New York City - USA

Nurse Supervisor Care Management / Transitional CareLocation: New York NY 10037Job Type: Full-TimeSchedule: 40 Hours per Week 8 Hours per Day 5 Days per WeekStart Date: July 6 2026Pay Rate: $100 - $110/hourPosition OverviewWe are seeking an experienced Nurse Supervisor to lead the Care Management...

30+ days ago
Hourly

Registered Nurse, Care Coordinator Cerebral Palsy ...

Nationwide Children's Hospital

profile Columbus - USA

Overview:**5000 Net Sign-on Bonus** New employees only40 hours per week Monday - Friday 8am - 5pmSalaried Nursing position. Full-time benefits.Family Experience: For Kids Website: Job Description Summary:Ensures the provision of quality patient care in the appropriate setting through care coordinat...

30+ days ago
Full Time