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Keywords: Director, Utilization Management Support Operations, Location: USA

Page: 2

LPN-Utilization Mgmt Reviewer - Case Management - Full Time

Job Category: Admin Support/Clerical Job Description: Summary The LPN Utilization Management (UM) Reviewer... Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of prior authorization...

Company: Guthrie
Location: Cortland, NY
Posted Date: 29 Oct 2025
Salary: $20.38 - 31.81 per hour

Supervisor, Utilization Management RN

of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the... Interdisciplinary Care Team. Recommends resources to improve performance standards in terms of Utilization Management. Collaborates...

Posted Date: 15 Oct 2025

Manager, Utilization Management

About The Role The Manager, Utilization Management (UM) will manage the Utilization Management team consisting..., outpatient, and retrospective reviews. Primary Responsibilities Coordinate day to day operations of the Utilization...

Posted Date: 12 Oct 2025

System VP Utilization Management

of Utilization Management is a key member of the healthcare organization’s leadership team and is charged with meeting the... utilization management program which includes comprehensive denials management. This role is critical to maintaining the...

Location: Phoenix, AZ
Posted Date: 06 Sep 2025

Director of Quality Utilization Review & Performance Improvement

Board of Trustees Facilitate complaint management and service recovery processes Manage departmental operations including... management, utilization review, performance improvement, infection prevention, risk management, or accreditation...

Company: ScionHealth
Location: Lander, WY
Posted Date: 31 Oct 2025

Utilization Manager

Healthcare provider is currently hiring a permanent Utilization Manager for a full time position. This opportunity... will already possess management experience in a healthcare provider or medical insurance type role. Individuals with proven...

Location: Miami, FL
Posted Date: 30 Oct 2025
Salary: $120000 per year

Utilization Review Case Mgr-CMC-Clear Lake Center; M-F, 3:00 P.M. - 11:00 P.M

cost and efficient use of medically appropriate services. Integrates and coordinates utilization management activities... transfers from UTMB TDCJ Hospital to specialty services hospitals. ESSENTIAL JOB FUNCTIONS: Utilization Management...

Posted Date: 22 Oct 2025

Project Manager, Utilization - MWBE

materials to support successful handoff and implementation by NYS agencies and authorities. Represent the MWBE Utilization Unit... an accommodation. BASIC FUNCTION: Under the direct supervision of the Director of Contract Participation, the Project Manager...

Company: New York State
Location: New York City, NY
Posted Date: 05 Sep 2025
Salary: $72000 - 78000 per year

Project Manager, Utilization - MWBE

materials to support successful handoff and implementation by NYS agencies and authorities. Represent the MWBE Utilization Unit... an accommodation. BASIC FUNCTION: Under the direct supervision of the Director of Contract Participation, the Project Manager...

Company: New York State
Location: Albany, NY
Posted Date: 05 Sep 2025
Salary: $72000 - 78000 per year

PRN Utilization Review Nurse Reviewer

Job Description: The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring... to determine the necessity and appropriateness of medical procedures, tests, and treatments. Utilization Management Nurse...

Company: Sane Street
Location: USA
Posted Date: 28 Aug 2025

PRN Utilization Review Nurse Reviewer

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services... necessity and appropriateness of medical procedures, tests, and treatments. Utilization Management Nurse Reviewers collaborate...

Company: Dane Street
Location: USA
Posted Date: 28 Aug 2025

Assistant Director - Management and Operations

Job Description TASK FORCE: Management & Operations JOB TITLE: One (1) Assistant Director of Management.... Job Description: The Assistant Director of Management and Operations will provide leadership, strategic direction, and oversight...

Company: City of New York
Location: New York City, NY
Posted Date: 03 Nov 2025
Salary: $167101 per year

Operations Management Area Director

assistance to each person we serve. Remote must live in the state of Kentucky Operations Management Area Director... for elders with complex medical or rehabilitative needs, attendant care and case management. This allows seniors to obtain...

Company: Sevita
Location: Somerset, KY
Posted Date: 03 Nov 2025

Operations Management Regional Director

. Join us today, and experience a career well lived. Regional Director Operations Management Have you been looking for a fantastic role to continue... mission driven work we do here every day. Implement the strategic direction for operations and ensures alignment with state...

Company: Sevita
Location: Hayward, CA
Posted Date: 24 Oct 2025

Director, Operations Analytics and Workforce Management

, Japan and Canada, and has been used for more than 400,000 patients worldwide. The Director of Operations Analytics... and Workforce Management will be responsible for overseeing three critical areas: Workforce Planning and Optimization, Operations...

Company: HeartFlow
Location: San Francisco, CA
Posted Date: 24 Oct 2025

Director of Transportation Systems Management and Operations (TSMO) (Administrator VII)

Position Summary The Director of Transportation Systems Management and Operations (TSMO) will lead a statewide..., Operations, and Maintenance efforts under a unified TSMO strategy. The Director will guide policy development, interagency...

Posted Date: 11 Oct 2025

Senior Director, Project Management & Delivery Operations

a difference. Position Summary The Senior Director, Project Management and Operations for Advisory Services is responsible... and maintain an organizational change management methodology in support of the businesses need for continuous improvement...

Company: Coalfire
Location: USA
Posted Date: 08 Oct 2025
Salary: $114000 - 198000 per year

Operations Management Area Director

. Join us today, and experience a career well lived. Operations Management Area Director Everybody needs a job but only extraordinary people work... here. Our team is creative and dedicated to making a difference every day in the lives of adults we support. Provide direction...

Company: Sevita
Location: Tucson, AZ
Posted Date: 03 Oct 2025
Salary: $61000 - 65000 per year

Director, Ambulatory Care Management and Operations - Value Based Service Org - Full Time 8 Hour Days (Exempt) (Non-Union)

The Director, Ambulatory Care Management and Operations, is responsible for the leadership, operational oversight.... Leveraging advanced clinical expertise and strong operational leadership, the Director integrates case management, utilization...

Posted Date: 04 Sep 2025

Associate Patient Support Field Strategy and Operations Director

+ years of progressive patient support / brand management and/or sales/operations experience required High level of analytics.... This role will oversee program operations, compliance, vendor contracts and relationship management. AD will drive collaboration...

Company: Novo Nordisk
Location: Plainsboro, NJ
Posted Date: 28 Oct 2025