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Keywords: Director, Utilization Management, Location: USA

Page: 2

Director Case Management / Utilization Management / CDI Location: Buckey

TITLE: Director Case Management / Utilization Management / CDI Location: Buckeye Lake, OH Now is your chance... while simultaneously promoting cost-effective resource utilization. Provides director-level oversight of Inpatient and ED Case Management...

Company: KnowHireMatch
Location: Buckeye Lake, OH
Posted Date: 24 Dec 2025
Salary: $130000 - 156000 per year

Director, Clinical Operations (Utilization Management)

strategic and operational leadership. This leadership is for SFHP's Utilization Management (UM) program, ensuring members...: $195,000 - $215,000 per year WHAT YOU WILL DO: Lead daily operations of the Utilization Management department, including prior authorization...

Posted Date: 17 Dec 2025
Salary: $195000 - 215000 per year

Director of Utilization Management

Director of Utilization Management provides strategic leadership, oversight and operational management for all utilization..., and manages resource utilization across the acute care continuum. The Director collaborates with medical staff, nursing, revenue...

Posted Date: 27 Nov 2025

Director of Case Management / Utilization Management / CDI

Director of Case Management / Utilization Management / CDI Location: near Gratiot, OH Now is your chance..., this opportunity is worth exploring. Position Highlights Full-time, Director-level leadership role overseeing Case Management...

Posted Date: 23 Nov 2025

Director-Utilization Management

, regarding utilization review and specific managed care issues. · Provide staff management to including hiring, development... population of the facility preferred. · Four or more years’ experience in utilization management required. · Three...

Location: USA
Posted Date: 14 Jan 2026

Physician - Medical Director - Utilization Management

! Dynamic physician leader needed to champion FirstHealth’s Utilization Management efforts. We are a private, community-based...- and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental...

Posted Date: 13 Jan 2026

Utilization Management Nurse Consultant - Medical Review (Remote)

a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant...+ Year of Utilization Review Management and/or Medical Management experience. Commitment to attend a mandatory 3-week...

Company: CVS Health
Location: West Virginia
Posted Date: 26 Jan 2026

Medical Management - Utilization Management RN 145

identified with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY...JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential...

Company: CommunityCare
Location: Tulsa, OK
Posted Date: 25 Jan 2026

Senior Utilization Management Assistant (Per Diem Day)

Job Category: Health Information Management Job Description: Senior Utilization Management Assistant at Irvine..., CA. This position is Per Diem and will work 8-hour, Day shifts. Under the supervision of Regional Director of Care Management, the...

Posted Date: 25 Jan 2026

Manager Utilization Management Administration Operations & Correspondence

Role Overview Under the supervision of the Director of Utilization Management Administrative Operations and Audit..., this position is responsible for providing daily oversight of the Utilization Management Correspondence team. In this role...

Location: USA
Posted Date: 24 Jan 2026

RN, Utilization Management | Variable | Night Shift

or three (3) years utilization/case management or 3rd party payer work experience. Ability to adjust priorities quickly... solving skills. Scheduled work hours and days may vary depending upon departmental needs determined by department director...

Posted Date: 24 Jan 2026

Utilization Management RN Hybrid

Job Category: Revenue_Cycle Job Description: Under broad direction from the Centralized Utilization Management... Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves...

Posted Date: 23 Jan 2026

Clinical Utilization Management Pharmacist

. In addition, the Clinical Utilization Management Pharmacist will work with our Medical Director and Clinical Formulary team... information about this position. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist...

Company: WVU Medicine
Posted Date: 22 Jan 2026

Senior Utilization Management Assistant - Full- time - REMOTE

Job Category: Health Information Management Job Description: Under the supervision of Regional Director of Care... Management, the Utilization Management Coordinator is responsible for providing support to the Care Management team who...

Posted Date: 20 Jan 2026

Medical Management - Utilization Management RN 145

identified with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY...JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential...

Company: CommunityCare
Location: Tulsa, OK
Posted Date: 18 Jan 2026

Medical Management - Utilization Management RN 145

identified with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY...JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential...

Company: CommunityCare
Location: Tulsa, OK
Posted Date: 18 Jan 2026

Inpatient Utilization Management Nurse, RN - Remote in PST or MST

, RN is responsible for providing clinically efficient and effective Inpatient utilization management. Reviews inpatient... Utilizes care management system and resources to track and analyze utilization, variances and trends, patient outcomes...

Company: CPS Solutions
Location: Sacramento, CA
Posted Date: 17 Jan 2026
Salary: $60200 - 107400 per year

Utilization Management RN

within the Utilization Management (UM) department, including staffing, assignment management, and serving as the first line... of Utilization Management, typically gained through a bachelor’s degree in Nursing, Healthcare Administration, or a related field...

Company: Trinity Health
Location: Iowa
Posted Date: 17 Jan 2026

Utilization Management Nurse RN

determines are necessary or desirable to meet its business needs Assist and support the Director and Utilization Management... with the Utilization Management Nurse Manager to identify patient utilization trends to assist the Bassett Healthcare Network...

Location: Albany, NY
Posted Date: 17 Jan 2026
Salary: $60200 - 107400 per year

Utilization Management Nurse RN

determines are necessary or desirable to meet its business needs Assist and support the Director and Utilization Management... with the Utilization Management Nurse Manager to identify patient utilization trends to assist the Bassett Healthcare Network...

Location: Albany, NY
Posted Date: 17 Jan 2026
Salary: $60200 - 107400 per year