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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
Humana IncMadisonBecome a part of our caring community Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against estab
UM Trainer - Utilization Management
OptumEden 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
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
Utilization Management Manager REMOTE Full Time
Kindred Hospitals Mountain District OfficeWinchesterDescription 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
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
Utilization Management Administration Coordinator - SNF
Humana IncColumbusBecome 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 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
Pharmacist, Prior Auth/Utilization Management, Remote
Molina HealthcareCaliforniaMolina 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
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
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
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 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
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 (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
Utilization Management Administration Coordinator - SNF
Humana IncCheyenneBecome 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
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
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
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
Utilization Review Nurse
Umpqua HealthRoseburgAbout 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
Utilization Review Nurse
Innovative Systems GroupRichardson3 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
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
Utilization Review Nurse
RangamPenningtonCompany 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