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Utilization Management Jobs - 72,123 Job Positions Available

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L.A. Care Health Plan jobs

Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles

L.A. Care Health Plan  28 days ago
L.A. Care Health Plan jobs

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles

L.A. Care Health Plan  28 days ago
Guthrie jobs

Up To $25,000 Sign On Bonus For Qualified RNs! Summary The Registered Nurse (RN) Utilization Management (UM) in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, payers, and the Guthrie Clinic health system business office, is

Guthrie  28 days ago
Archwell Health jobs

Job Summary: Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating medical services, treatments, and procedures. This role identifies trends for opportunities to educate

Archwell Health  28 days ago
Luminis Health jobs

Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. Essential Job Duties: 1. Chart Review: Reviews the medical record

Luminis Health  24 days ago
Kettering Health jobs

Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements Registered professional nurse with education, knowledge and experience. Role focuses on review of inpatient and observation admissions to ensure correct assignment of Admit status.

Kettering Health  24 days ago
Prime Healthcare jobs

Overview San Dimas Community Hospital is a 101 bed facility located on a 13-acre campus in the heart of San Dimas. With a multidisciplinary team of experts and state of the art technology, we are committed

Prime Healthcare  22 days ago
Cottingham & Butler jobs

Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients, and prefers

Cottingham & Butler  22 days ago
Prime Healthcare jobs

Overview Montclair Hospital Medical Center is a 106-bed acute care, not-for-profit community hospital, received the “100 Top Hospital” in the nation award from IBM Watson Health, the Patient Safety Excellence award from Healthgrades®, and the Womens

Prime Healthcare  22 days ago
Community Health Plan of Washington jobs

Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected

Community Health Plan Of Washington  21 days ago
UnitedHealth Group jobs

Optum 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 connecting people with the

UnitedHealth Group  22 days ago
University of Rochester jobs

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we

University Of Rochester  22 days ago
Humboldt Park Health jobs

Utilization case review and application of criteria to approve initial and continued inpatient services Identify patients in need of outreach efforts based on patient risk stratification or other defined criteria as well as defined disease management guidelines Work

Humboldt Park Health  22 days ago
Avēsis jobs

Join us for an exciting career with the leading provider of supplemental benefits! Our Promise Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues

Avēsis  22 days ago
Corewell Health jobs

Job Summary Under general direction, assists in the provision of the highest service level possible to patients/customers to ensure their satisfaction. Participates in activities with third party payors in order to maximize reimbursement. Essential Functions Understands

Corewell Health  20 days ago
Community Health Plan of Washington jobs

Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected

Community Health Plan Of Washington  20 days ago
Highmark Health jobs

Company :Highmark Health Job Description : JOB SUMMARY *If located within a 50 mile radius of a Highmark office in PA, DE, WV or NY this is a hybrid role requiring 3 days in office *Note

Highmark Health  18 days ago
Devoted Health jobs

Job Description Job Type: Part-time Contractor Required Skills and Experience: Broad state licensure coverage Medicare Utilization Management experience Comfort with learning and adapting to new technologies Willingness to obtain other state licenses Your Responsibilities will include: Perform clinical

Devoted Health  17 days ago
ChristianaCare jobs

Job Details Registered Nurse (RN) - Utilization Management FT Day Shift (Hrs.: 8a-4:30p) - On-site Newark, DE ChristianaCare Hospital in Newark, DE, is seeking a Utilization Management Nurse (RN) with experience with insurance providers such as Aetna and Cigna, along

ChristianaCare  15 days ago
Charlotte Behavioral Health Care jobs

Job DetailsJob Location: 1700 EDUCATION AVE - PUNTA GORDA, FL 33950Position Type: Part TimeEducation Level: High SchoolSalary Range: $16.50 - $18.50 HourlyTravel Percentage: NegligibleJob Shift: DayJob Category: InsuranceSign-on Bonus: $500Work days: Saturday and SundayParticipate in daily

Charlotte Behavioral Health Care  15 days ago

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