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UM Trainer - Utilization Management
OptumEden Prairie
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin
Utilization Management Nurse
Brighton Health Plan Solutions, LLCChapel HillAbout The RoleBHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standard
Utilization Management Nurse – Remote
UnitedHealth GroupEden PrairieRequisition number:2358175Job category:NursingOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will
Physician Supervisor, Utilization Management
Oak Street HealthNew YorkWe’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who
Behavioral Health Advocate, Utilization Management - Remote
IstssEden PrairieOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin
Utilization Management Administration Coordinator - SNF
Humana IncAnnapolisBecome a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using se
Utilization Management Administration Coordinator - SNF
Humana IncHartfordBecome a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using se
RN Admissions Coordinator - Utilization Management
Carle HealthEurekaOverview (Monday through Friday on site at Eureka, 2 to 3 afternoons on site at BroMenn pending census and need. )( Nursing RN>2yrs Case management Preferred) Assures appropriate admission decisions
Utilization Management Administration Coordinator - SNF
Humana IncSan JuanBecome a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using se
Behavioral Health Utilization Management Clinician
Cambia Health SolutionsOregonWork from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.Who We Are Looking For Ev
Utilization Management Administration Coordinator - SNF
Humana IncSanta FeBecome a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using se
Utilization Management Administration Coordinator - SNF
Humana IncColumbiaBecome a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using se
Utilization Management Administration Coordinator - SNF
Humana IncRichmondBecome a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using se
RN Utilization Management - Day Shift
ChristianaCareNewarkRegistered Nurse (RN) - Utilization ManagementFT Day Shift (Hrs.: 8a-4:30p) - On-site Newark, DEChristianaCare Hospital in Newark, DE, is seeking a Utilization Management Nurse (RN) with experience wi
Utilization Management LVN (Remote, Texas-based)
Harbor HealthAustinCompany Overview At Harbor Health, we’re transforming healthcare in Texas through collaboration and innovation. We’re seeking passionate individuals to help us create a member-centered experience that
Utilization Management (UM) Clinical Support Specialist (Remote)
Partners In Recovery LLCPhoenixEmployee Type Full-Time (40 hours/wk) Required Degree 2 Year Degree Manage Others NoContact information Name Human Resourcestango is a leader in the home health management industry and is preparing fo
Registered Nurse (RN) Care Management - Utilization Review
Providence Health and ServicesEagle RiverDescription We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Join us as a Care Manager to play a vital, hands‑on role during a transformational t
Remote Physician Advisor, Utilization Management (CA License Required)
Alignment Healthcare LLCCaliforniaPhysician Advisor, Utilization Management (CA License Required) page is loaded## Physician Advisor, Utilization Management (CA License Required)remote type:Fully Remotelocations:Anywhere in the U.S.ti
Behavioral Health Utilization Management Clinician - Fully Remote LMSW, LCSW, LMHC
MetroPlusNew YorkAbout NYC Health + HospitalsMetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of produ
Associate Utilization Review Specialist - Remote
Providence Health & ServicesOregonDescription Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient‑focused, whole‑person care built on understanding, commitme
Physician Reviewer - Psychiatry (Utilization Review)
Dane Street, LLCNew YorkOverview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an active
REMOTE Utilization Review Nurse - Managed Care
DOCS Management ServicesCoos BayWelcome and thank you for considering a career at Advanced Health! We are searching for collaborative, innovative people committed to ashared community vision for healthto join our team. If you value
Physician Reviewer - Orthopedic Surgery (Utilization Review)
Dane Street, LLCNew YorkOverview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an
Remote - Radiologist Utilization Review - 1099 (contract)
Medical Review Institute of AmericaSalt Lake CityFlexible Independent Contractor (1099) Require a DC or Maryland State Medical LicenseAbout MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Rev
Behavioral Health Utilization Manager (temporary) - CBHI Experience
WellSense Health PlanBostonIt’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their ci