Utilization Review Jobs in 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...

About CurativeCurative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at...

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):$30.370 - $37.950 - $42.510The stated pay scale reflects the range that Sharp reasona...

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...

The 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 clinical knowledge of best practices and evidenc...

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...

Hours:Shift Start Time:7:30 AMShift End Time:5:30 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Half day on Fridays.Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$30.370 - $37.950 - $42.510The stated pay scale reflects th...

Psychiatric Mental Health Nurse Practitioner (Crisis / OSC Expedited Care)Community Bridges INCFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient pat...

Psychiatric Mental Health Nurse Practitioner (Crisis / OSC Expedited Care)Community Bridges INCFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient pat...

DescriptionSalary Range: $33.22 $44.85Your experience matters:At Valley Springs Behavioral Hospital we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll support those that...

OverviewThe Care Coordinator is a member of the multidisciplinary team that actively facilitates those functions that move a patient through an acute episode of care and links to internal and external resources and the payor community. The Care Coordinator assumes responsibility and leads the proces...

OverviewSalary: $120000 - $130000 as year (DOE)Location: RemoteReporting to: Chief Financial OfficerThe Director of Payer Compliance & Quality Assurance is a senior leadership role responsible for strengthening organizational compliance quality and revenue integrity across all levels of care includi...

SUMMARY The RN Case Manager is responsible for the delivery of comprehensive nursing care to a set of assigned patients at a specific point in time. This involves the assessment of patient and family needs and the development implementation and evaluation of an appropriate Plan of Care making change...

Department:02040 AMG Downers Grove 3743 Highland Ave - Behavioral HealthStatus: Part timeBenefits Eligible:YesHours Per Week:20Schedule Details/Additional Information:Part time role 20 hours/week. Hours vary Monday-Friday day shift Hybrid flexibility.Pay Range$35.50 - $53.25Major Responsibilities:Pr...

ID: Shift: Day 5x8-Hour (08:00 - 16:30) Description: Utilization Review RNMust have current utilization review experience within the last Start Prefer Local candidates in the DC area60 Mile traveler radius*This position will be working out of the Medstar Georgetown facility starting May 1 2026 Mod...

OverviewNaphCare is hiring a TravelLicensed PracticalNurse (LPN) just like you to join our team in Alabama Department of Corrections. This posting is open exclusively to current AL DOC incumbent employeesNaphCare is a family owned healthcare technology company that has been delivering high quality h...

DescriptionYour experience mattersWellBridge Healthcare Fort Worth is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Manager of...

ID: Shift: Day 5x8-Hour (08:00 - 16:30) Description: Job Description Start date: ASAP Floating Expectation: Float to the Laguna Facility Ratios: 1:25 Years of experience REQ: 2-year acute medical Care Manager experience performing Care Coordination First-timers accepted: No - requires travel experi...

ID: Shift: Day 5x8-Hour (08:00 - 16:30) Description: Job Description Start date: ASAP Floating Expectation: Float to the Laguna Facility Ratios: 1:25 Years of experience REQ: 2-year acute medical Care Manager experience performing Care Coordination First-timers accepted: No - requires travel experi...

Company OverviewWorld Insurance Associates (World) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes modernize their benefits programs and help them achieve their long-t...