Utilization Review Jobs in USA

Program: Specialty Care ServicesDepartment: Health ServicesReports to: Manager Specialty Care Services & Utilization ReviewStatus: 100% Full-Time Non-ExemptProbation: 90 daysBenefits: Medical Dental Vision; also including Life Insurance Long-Term Disability Employee Assistance Program and a 403(b) R...

City/StateSuffolk VAWork ShiftFirst (Days)Overview:Overview:The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers writing appeal letters) in support of the centralized system Utilization Review (UR...

Anticipated End Date:Position Title:Medical Management Specialist I- Wisconsin Family CareJob Description:Medical Management Specialist I Associate Referral Bonus: $250.00Location: It is required to be a Wisconsin resident. This role enables associates to work virtually full-time except for require...

Caring For the Community You LoveChoose a career to make a difference in peoples lives every day choose Fisher-Titus!Perks of working at Fisher-Titus:Hours of Work- Full timeComprehensive Benefits Package- Medical & Dental coverage 401K match paid time off tuition assistance and more!Shift Weekend &...

Job Title: Registered Nurse Case Manager (Acute Care) Location: Eureka Job Type: Travel / Contract Duration: 13 WeeksScheduleNight Shift: 5x8-Hour ShiftsHours: 7:00 PM 7:00 AMEvery other weekend requiredFloat as needed based on department needsPosition OverviewNavitas Healthcare LLC is seeking an...

Are you a results-driven leader ready to make a meaningful impact to patients caregivers and your community Were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.Summary DescriptionOversees h...

DescriptionPosition Summary:Provide operational oversight and scheduling duties tothe individuals assigned facility to ensure the execution of daily tasks and activities including but not limited to transportation planning scheduling reporting customer relations and operational execution in a manner...

DescriptionPosition Summary:Provide operational oversight and scheduling duties tothe individuals assigned facility to ensure the execution of daily tasks and activities including but not limited to transportation planning scheduling reporting customer relations and operational execution in a manner...

DescriptionThe Staff Physician provides direct patient care and emergency services in an effort to ensure that patient health care needs are met at all times. ResponsibilitiesTECHNICAL TASKSDemonstrates a commitment to the philosophy and values of the organization to ensure that the highest quality...

At Elara Caring we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals providing the Right Care at the Right Tim...

OverviewAnnual Salary: $55000 to $60000 depending on experienceFlexible Schedule:Monday to Friday 9:00 AM to 5:00 PMLocation: 3205 N Twyman Rd Independence MO 64058Embark Behavioral Health is seeking anAdmissions Counselorto guide families through the intake process for residential treatment for the...

DescriptionFull Time RN Supervisor in Care Management at Northwest Medical Center in Tucson AZ.What we offer:Our nurses enjoy a robust benefits package including health insurance flexible scheduling 100% licensure/certification renewal reimbursement Tuition Reimbursement and up to $20K for student l...

OverviewAnnual Salary: $55000 to $60000 depending on experienceFlexible Schedule:Monday to Friday 9:00 AM to 5:00 PMLocation: 3205 N Twyman Rd Independence MO 64058Embark Behavioral Health is seeking anAdmissions Counselorto guide families through the intake process for residential treatment for the...

Hours:Shift Start Time:VariableShift End Time:VariableAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:8 hour shifts starting as early as 7am and ending as late as 6pm.Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$25.300 - $3...

Hours:Shift Start Time:8 AMShift End Time:5 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$27.830 - $33.390 - $37.400The stated pay scale reflects the range that Sharp reasona...

Hours:Shift Start Time:VariableShift End Time:VariableAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$33.400 - $41.740 - $46.760The stated pay scale reflects the range that Sharp...

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...

A Registered Nurse (RN) / Case Manager Support administers and/or oversees the skilled nursing care of patients in their place of residence in accordance with physician orders and the plan of care per state Practice Act. This role blends hands-on nursing with case management responsibilities on an i...

We are recruiting for a mission-driven Supervisor - Clinical Social Worker - Inpatient to join our team!Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every day for lifes journey. Our ValuesRespect Belonging Accountability Transpa...

Job Title:Regional Marketing RepresentativeLocation:Multiple Cities across U.S.Reports to:Regional Artisan Marketing SupervisorEmployment Type:Full timeJob Req ID:2026Req Begin Date:5/06/2026About TMHCCTokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry today offe...