Offres d'emploi

The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization and a

OverviewSite: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers

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 national standar

Date Posted:2026-03-24Country:United States of AmericaLocation:Florida - RemoteWHY JOIN FCSAt Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in t

Job Title: Utilization Management RN (Remote) | Baltimore, MD | $85K+Fully remote opportunity. Fast interview process.Location:Baltimore, MD (Remote – must reside in Maryland or hold compact license)J

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

Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with

*Remote and must live in the United States*Job Summary Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, executio

Santa Barbara Cottage Hospital is seeking a Clinical Audit Specialist - Utilization Management to conduct audits ensuring compliance with medical necessity criteria. This role requires expertise in ev

This role will involve up to 40% Travel across AbsoluteCare locationsRN license preferred.Certification in Case Management (CCM), Utilization Review Accreditation Commission (URAC), or related credent

Utilization Management RN - Behavioral Health (OR Licensed)Position Responsibilities SpecificDetermine appropriateness of services through the application and evaluation of medical guidelines, benefit

RemoteJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:Capital Rx , a public benefit corporation delivering

Centene Corp. is looking for a Remote Medical Director to direct medical management and enhance quality improvement for our members. You will provide medical leadership and collaborate with clinical t

Job Responsibilities Core ResponsibilitiesChronic Disease ManagementDeliver ongoing care, support, and health education to participants with chronic illnesses including COPD, Diabetes, Heart Failure,

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We’re more than just a team; we're a close-knit community. Our shared commitment t

Regional Sales Professional (Criminal Case Management) About the role: Our client is on the search for a driven, ambitious, and results-oriented Regional Sales Professional to join their rapid growing

Company : Highmark Inc. Job Description : JOB SUMMARYThis job supervises a team of Case Manager Supervisors who are charged with promoting quality member outcomes, optimizing member benefits, and prom

Oscar Insurance Corporation (Oscar Health, Inc.) is seeking a full-time Remote Case Management Nurse. In this role, you will educate members on health outcomes, assist with care transitions, and colla

Jacoby & Meyers is seeking a dedicated Case Manager to join our fully remote team. The ideal candidate should have excellent organizational skills and be able to communicate effectively in both Englis

Carlsbad Tech is looking for a Nurse Case Manager II to join their remote team. The ideal candidate will utilize a collaborative process to assess and plan for individual benefit needs, ensuring optim

*This role is for one year direct contract from AmazonWe are looking for a dynamic, organized self-starter to join our Recruiting Services organization in Bangalore location. Recruiting Services suppo

JOB DESCRIPTION The Senior Manager, Healthcare IT Consulting provides clients healthcare consulting services by assessing the client’s business needs, recommending and implementing technology, systems

Senior Manager, Clinical Data Management This range is provided by Meet Life Sciences. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.Base pay ran

Senior Manager, Customer Success Management - Commercial/Digital United States - RemoteChainguard is the trusted source for open source. By delivering hardened, secure, and production‑ready builds of

Framework Ventures is looking for a dedicated individual to manage life insurance applications, ensuring an efficient underwriting process. You will collaborate with various teams and enhance customer