Offres d'emploi
Trouvez des postes près de chez vous, sur site, hybrides ou à distance.- Emplois similaires à : Case Manager - Utilization Management
Utilization Management Nurse
Santa Barbara Cottage HospitalNew YorkAbout The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standar
Utilization Management Care Manager
Santa Barbara Cottage HospitalNew YorkOverviewSite: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers
Utilization Management Registered Nurse
AppworkshubNew YorkWe’re seeking adedicated and detail-oriented Utilization Management Registered Nurse (UM RN)to join our growing healthcare team. In this role, you’ll perform bothinpatient and outpatient utilization r
Utilization Management, Registered Nurse (RN)
Clover HealthNew YorkUtilization Management, Registered Nurse (RN) Remote - USAAt Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. We pr
Utilization Management RN (Remote) | Baltimore, MD |
Santa Barbara Cottage HospitalNew YorkJob Title: Utilization Management RN (Remote) | Baltimore, MD | $85K+Fully remote opportunity. Fast interview process.Location:Baltimore, MD (Remote – must reside in Maryland or hold compact license)J
Medical Director-Utilization Management- Independent Contractor
Santa Barbara Cottage HospitalNew YorkPosition Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with
Program Manager, Healthcare Services (SQL & Utilization Management Data)
Molina HealthcareNew York*Remote and must live in the United States*Job Summary Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, executio
Senior Director, Complex Care Management and Utilization Management
AbsoluteCareNew YorkJob SummaryThis Senior Director role over Complex Care Management (CCM) and Utilization Management (UM) is a strategic senior leader position that is responsible for designing, implementing, and optim
Medical Necessity Audit Specialist Utilization Management
Santa Barbara Cottage HospitalNew YorkSanta Barbara Cottage Hospital is seeking a Clinical Audit Specialist - Utilization Management to conduct audits ensuring compliance with medical necessity criteria. This role requires expertise in ev
Senior Director, Complex Care Management and Utilization Management - 2756
AbsoluteCARE Medical Center & PharmacyNew YorkThis role will involve up to 40% Travel across AbsoluteCare locationsRN license preferred.Certification in Case Management (CCM), Utilization Review Accreditation Commission (URAC), or related credent
Lead, Healthcare Services (Utilization Management) - Remote in FL
Santa Barbara Cottage HospitalNew YorkJob Description Must reside in FloridaJob Summary Provides lead level clinical support to healthcare services team supporting one or more of the following functions: care management, utilization manag
Remote Care Manager - Mental Health Utilization & Discharge
Magellan Health, Inc.New YorkMagellan Health, Inc. is seeking a remote Louisiana Licensed Care Manager to support mental health and substance abuse services. You will monitor inpatient and outpatient services, conduct crisis inte
RN CARE MANAGER - COMPLEX CARE & HIGH UTILIZER MANAGEMENT
C2Q Health SolutionsNew YorkJob Responsibilities Core ResponsibilitiesChronic Disease ManagementDeliver ongoing care, support, and health education to participants with chronic illnesses including COPD, Diabetes, Heart Failure,
Manager, Case Management (RN)
VyncaNew YorkJoin the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We’re more than just a team; we're a close-knit community. Our shared commitment t
Remote Case Manager — Bilingual Spanish
Jacoby-New YorkJacoby & Meyers is seeking a dedicated Case Manager to join our fully remote team. The ideal candidate should have excellent organizational skills and be able to communicate effectively in both Englis
Clinical Case Manager (Wound Care)
OX BioMedNew YorkAbout OX BioMedOX BioMed supports clinical providers with advanced skin substitutes, streamlined logistics, and responsive services so they can treat patients with confidence. OX BioMed was custom bui
Sr. Manager, Consulting - Asset Management & Investment
Cutter AssociatesNew YorkSr. Manager, Consulting - Asset Management & Investment Location: Remote - USType: Full-time, PermanentPlease note:This posting represents a pipeline role for upcoming consulting projects. We’re alway
Senior Manager, Management Consulting - Epic
BDO USANew YorkJOB DESCRIPTION The Senior Manager, Healthcare IT Consulting provides clients healthcare consulting services by assessing the client’s business needs, recommending and implementing technology, systems
Spinal Cord Injury Case Manager – Part-time, Remote, Medico-Legal Report Writing Role (10 hrs/week)
Jacqueline Webb & CoNew YorkRemote | Part-time | 10 hours per week | £45-£80 per hourAre you an experienced Spinal Cord Injury Case Manager looking for more flexibility, additional income, and a better work-life balance alongsid
Operations Enablement Manager (Disputes Management)
AffirmNew YorkOperations Enablement Manager (Disputes Management) Remote CanadaAffirm is reinventing credit to make it more honest and friendly, giving consumers the flexibility to buy now and pay later without any
Associate Manager, Account Management - Local Sales
Metro Motor GroupNew YorkAssociate Manager, Account Management - Local SalesUnited States |Current USA TODAY Co. Employees- Please ensure you are using our abbreviated process on the internal Careers site by logging into Dayf
Mobile FAP Case Manager
Zeiders Enterprise Inc.New YorkJob Category: Behavioral Health Counseling ServicesRequisition Number: MOBIL005018Posted : March 3, 2026Full-TimeRemoteLocations Showing 1 locationTelework - Japan, Telework, Japan, FN 00000, USAThis
Product Manager I - Claims Management
Snapsheet IncNew YorkJob Title: Product Manager I Teams: Foundational Services OR Claims Management Company: Snapsheet Job Location: Remote, USA-based Job Type: Full-time, exempt OverviewWe’re hiring two/three Product Man
Senior Manager, Chronic Care Management
TapestryHealthNew YorkABOUT US TapestryHealth is a leader in providing Chronic Care Management, Remote Patient Monitoring, and Primary Care Services for Long Term Care and Post Acute Facilities across the U.S. serving more
Customer Relationship Management Manager
Global Recruiters of Lowcountry (GRN)New YorkCustomer Relationship Management Manager We are seeking an experienced Sr. Manager of CRM to join a fast paced, women's fashion organization on the DTC team. With a significant fleet of B&M and a thri