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Find jobs near you, whether onsite, hybrid, or remote.- Similar Jobs to: UM Trainer - Utilization Management
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
MagnaCareChapel HillOverview About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with nationa
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
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
Program Manager, Healthcare Services (Utilization Management)
Molina HealthcareLexingtonRemote and must live in the United StatesJOB DESCRIPTIONJob Summary Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process des
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
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 are
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
Clinical/Behavioral Health Specialist, Utilization Management
Community Health OptionsNew YorkOverviewPosition SummaryThe Clinical Specialist reports to the Assistant Manager, Medical Management and provides clinical decision-making support and community resource coordination in support of Com
Pharmacist, Prior Auth/Utilization Management, Remote
Molina HealthcareFloridaMolina Healthcare is hiring for a Pharmacist in our UM/Prior Authorization department. Candidates must be licensed to practice in the state of Florida or be able to obtain Florida licensure within 90
Registered Nurse (RN) Care Management - Utilization Review
Providence Health and ServicesAnchorageDescription 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
Medical Director - Case Management and Utilization Review
Memorial Healthcare SystemHollywoodComplexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal
Registered Nurse (RN) Care Management - Utilization Review
Providence Health and ServicesAlaskaDescription 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
Lead, Healthcare Services (Utilization Management) - Remote in FL
Molina HealthcareOrlandoMust reside in FloridaJob Summary Provides lead level clinical support to healthcare services team supporting one or more of the following functions: care management, utilization management, care tran
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
I/DD Utilization Management Reviewer (QP)-Remote NC
Partners Behavioral Health ManagementAlbemarleIf you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.Full Time Social Services Albemarle, NC, US
Supv, Healthcare Services (Utilization Management) - Remote in FL
Molina HealthcareSaint PetersburgMust reside in Florida Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, b
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
Utilization Review RN - Remote
Providence Health & ServicesPortlandUtilization Review RN - Remote Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focus
Utilization Review Author-Remote
R1 RCMBoiseThe Utilization Review Specialist will be part of our Physician Advisory Team providing first level initial admission and continued stay case reviews. The Utilization Review Specialist will determine
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
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
Part-Time Associate Physician Advisor - Utilization Review
Medical Review Institute of AmericaSalt Lake CityPart-Time | Remote (U.S. Based)Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence-based solutions
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,