Job Opportunities

Overview 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

Description At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge a

Molina 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

Become 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

Company 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

Become 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

Become 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

Become 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

Registered 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

Molina 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

Become 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

Become 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

Become 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

OverviewPosition SummaryThe Clinical Specialist reports to the Assistant Manager, Medical Management and provides clinical decision-making support and community resource coordination in support of Com

Remote 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

Employee 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

Physician 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

If 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

Company Description Rangam is a global, innovative Total Talent management firm dedicated to accelerating meaningful employment for everyone. As a minority-, woman-, and disability-owned firm, Rangam

Must 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

About Umpqua Health At Umpqua Health, we’re more than just a healthcare organization; we’re a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of i

3 days ago Be among the first 25 applicantsThis is full-time remote, but candidates must reside in IL or TXContract: 12/22/2025 to 03/31/2026RN working in theinsuranceormanaged careindustry using medi

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people fo

About 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

Additional Information About The Role Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all un