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Utilization Management Care Manager
Santa Barbara Cottage HospitalNew YorkOverviewSite: 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
Case Manager - Utilization Management
Santa Barbara Cottage HospitalNew YorkImagine a career at one of the nation's most advanced health networks.Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally
Utilization Management Nurse
Santa Barbara Cottage HospitalNew YorkAbout 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
Utilization Management Coordinator I
Santa Barbara Cottage HospitalNew YorkDate 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
Utilization Management Physician Reviewer
Dane Street, LLCNew YorkDane Street, a certified “Great Place to Work” company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to
Utilization Management Nurse, LVN/LPN
NeuehealthNew YorkNeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers,
Medical Director-Utilization Management- Independent Contractor
Santa Barbara Cottage HospitalNew YorkPosition 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
Program Manager, Healthcare Services (SQL & Utilization Management Data)
Molina HealthcareNew York*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
Utilization Management RN - Behavioral Health (OR Licensed)
Clearlink PartnersNew YorkUtilization Management RN - Behavioral Health (OR Licensed)Position Responsibilities SpecificDetermine appropriateness of services through the application and evaluation of medical guidelines, benefit
Utilization Management RN (Remote) | Baltimore, MD |
Santa Barbara Cottage HospitalNew YorkJob 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
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
Remote ABA Utilization & Care Coordination Consultant
Hispanic Alliance for Career EnhancementNew YorkThe Hispanic Alliance for Career Enhancement seeks a qualified candidate for a full-time remote position in Behavioral Health specializing in ABA. This role requires independent BCBA/LBA certification
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
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,
Senior Manager, Chronic Care Management
TapestryHealthNew YorkABOUT US TapestryHealth is a leader in providing Chronic Care Management, Remote Patient Monitoring, and Primary Care Services for Long Term Care and Post Acute Facilities across the U.S. serving more
Care Manager, Complex & Disease Management - Transition of Care (Remote/NYC)
EmblemHealthNew YorkSummary of Job Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members' health care needs, ide
Pediatric Care Manager RN | Complex Care & Coordination
EmblemHealthNew YorkEmblemHealth is seeking a Care Manager in New York, NY, to provide care management as part of a multidisciplinary team. The ideal candidate will assess member needs and coordinate care, ensuring high-
Pediatric Care Manager Nurse (RN/NY License) - Remote
EmblemHealthNew YorkSummary of PositionProvide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face‑to‑face assessments of members' health care needs,
Remote RPM & CCM Care Manager
United Cerebral Palsy of GeorgiaNew YorkUnited Cerebral Palsy of Georgia is seeking a Remote Patient Monitoring/Chronic Care Management (CCM) Care Manager. This remote role requires overseeing the RPM and CCM program and collaborating with
Louisiana Licensed Care Manager
Magellan Health, Inc.New YorkSupporting Louisiana's mental health and substance abuse services, the remote Louisiana Licensed Care Manager will authorize and review utilization of care, assist with discharge planning, and provide
Geriatric Nurse Care Manager — In-Home Care Coordinator
CareSourceNew YorkCareSource is seeking a Nurse Care Manager in New York City. This role involves providing comprehensive care coordination, including member assessment, planning, and collaboration with healthcare team
Regional Sales Manager (Criminal Case Management)
Peskind Executive SearchNew YorkRegional 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
Associate Manager, Account Management - Local Sales
Metro Motor GroupNew YorkAssociate Manager, Account Management - Local SalesUnited States |Current USA TODAY Co. Employees- Please ensure you are using our abbreviated process on the internal Careers site by logging into Dayf
Regional Managed Care Account Manager - West
Koya Medical, Inc.New YorkKoya Medical Regional Managed Care Account Manager - West Remote·Full time Company website Apply for Regional Managed Care Account Manager - West Koya is always looking for curious and passionate indi
Hybrid Registered Nurse (RN) Clinical Care Manager - Boston
CareSourceNew YorkOverviewCommonwealth Care Alliance® (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSou