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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
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
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
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
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
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
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
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 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
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
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
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
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
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
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 Nurse(Austin/Richardson TX) (Remote)
Madea Home Care ServicesPlanoREMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties RN working in the insurance or managed care industry using medically ac
Registered Nurse (RN) – Utilization Review, Per Diem
Dartmouth-HitchcockLebanonOverview Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through as
Utilization Review Nurse RN - Grace Medical Center
LifeBridge HealthBaltimoreUtilization Review Nurse RN - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER Part-time - Weekends - Day shift - 8:00am-4:30pm RN OTHER 96385 $40.12-$62.19 Experience based Posted:
Medical Assistant II Certified - UNCH JR Transplant Clinic ACC
UNC HealthChapel HillDescription Description: Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.Come join our gr
Neurodiagnostic Tech II (Per Diem) - Sleep Disorders
UNC HealthChapel HillDescription Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.Summary: The Neurodiagnostic
Physical Therapist I
UNC HealthChapel HillDescription Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.Summary:This full-time positi