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Keywords: Manager, Utilization Management, Location: USA

Page: 6

Nurse Clinician - Utilization Management - 60% - Downtown Campus

a variety of admission, concurrent and retrospective utilization management-related reviews and functions to ensure... compliance portion of the level of care. Review data specific to utilization management functions and reports as requested...

Location: Iowa City, IA
Posted Date: 08 Aug 2025

Sr Spec-Integrated Care Mgmt - Utilization Management - Sharp Corporate - FT - Days

related field. Accredited Case Manager (ACM) - American Case Management Association (ACMA) -PREFERRED Certified Case Manager... (ACM) - American Case Management Association (ACMA) OR Certified Case Manager (CCM) - Commission for Case Manager...

Company: Sharp HealthCare
Location: San Diego, CA
Posted Date: 01 Aug 2025
Salary: $64960 - 102680 per year

Director-SHS Utilization Management-Case Mgmt

. JOB SUMMARY/PURPOSE Responsible for overseeing and coordinating case management and utilization review activities across the... healthcare system. Ensures that the clinical and operational processes related to case management and utilization review align...

Posted Date: 31 Jul 2025

Coordinator - Utilization Review - CMC Utilization Management - Full Time - 8 Hour - Days

Job Description: Coordinates utilization review activities to ensure clinical documentation is accurate to secure.... Collaborates and partners closely with the Manager of Business Operations and their team to secure authorizations for treatment...

Company: John Muir Health
Location: USA
Posted Date: 11 Oct 2025

Coordinator - Utilization Review - CMC Utilization Management - Full Time - 8 Hour - Days

Job Description: Coordinates utilization review activities to ensure clinical documentation is accurate to secure.... Collaborates and partners closely with the Manager of Business Operations and their team to secure authorizations for treatment...

Company: John Muir Health
Location: USA
Posted Date: 11 Oct 2025

Utilization Management Coordinator

, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal processes. Provides staff education..., reporting them promptly to the Process Improvement/Quality Director, to appropriate clinicians and to the UM Manager. Reviews...

Location: USA
Posted Date: 09 Oct 2025

Travel Nurse RN - Case Management/Utilization Management

date or job transfer date required. BLS Provider preferred. American Heart Association or American Red Cross accepted. Case Manager... credentialed from the Commission for Case Manager Certification (CCMC) preferred. Education: Diploma from an accredited school...

Company: Ascension
Location: Murfreesboro, TN
Posted Date: 18 Oct 2025
Salary: $2174 - 2560 per month

Pharmacy Technician - Utilization Management

with internal and external customers and the Pharmacy Benefit Manager (PBM) to resolve issues that may arise in the provision... Pharmacy Benefit Manager (PBM) to resolve issues that may arise in the provision of pharmacy services. Processes determination...

Posted Date: 18 Oct 2025

Psychologist Peer Review Utilization Management - Remote

Medicaid services (e.g. Psychosocial Rehabilitation, Targeted Case Management, Home Based Habilitation, Supported Employment..., and local guideline requirements; and perform of other duties as required by the reviewer's manager Review of outpatient...

Company: CPS Solutions
Location: Houston, TX
Posted Date: 12 Oct 2025
Salary: $89900 - 160600 per year

Psychologist Peer Review Utilization Management - Remote

Medicaid services (e.g. Psychosocial Rehabilitation, Targeted Case Management, Home Based Habilitation, Supported Employment..., and local guideline requirements; and perform of other duties as required by the reviewer's manager Review of outpatient...

Company: CPS Solutions
Location: Houston, TX
Posted Date: 12 Oct 2025
Salary: $89900 - 160600 per year

Revenue Integrity Recovery Coord New Munson Medical Center United States Utilization Management Day shift

. ORGANIZATION This position reports to the System Manager of Revenue Integrity, and will be responsible for working denials... with Management, Physicians, and Clinical leaders throughout the system. AGE OF PATIENTS SERVED Cares for patients in the age...

Location: Michigan
Posted Date: 07 Oct 2025

Utilization Management Nurse, Senior

Post Service Clinical Review nurse will report to the manager of FEP Post Services. In this role you will be reviewing... and intervenes or as clinically appropriate Provides referrals to Case Management, Disease Management, Appeals and Grievance...

Posted Date: 27 Sep 2025

Per Diem Medical Director Utilization Management

coverage determinations. Management policies; meeting health plan inter-rater reliability guidelines. Schedule... and manager for all clinically related activities. Assures that organization medical policies and procedures adhere...

Location: USA
Posted Date: 22 Sep 2025

Clinical Utilization Manager

reviews, denial prevention and appeal management. The Utilization Manager will provide developmental training to clinical...Job Summary: The Utilization Manager leads a team that is responsible for all authorization processes. Oversee timely...

Posted Date: 19 Oct 2025

Registered Nurse - Case Manager / Utilization Review / CDI - RNCMUR25

Job Title: Registered Nurse – Case Manager / Utilization Review / CDI Location: Syracuse, NY Type: Contract Shift... management and utilization review for patients in acute care settings. Ensure appropriate care coordination and discharge...

Company: NavitsPartners
Location: Oneida, NY
Posted Date: 18 Oct 2025
Salary: $50 - 55 per hour

Registered Nurse - Case Manager / Utilization Review / CDI - RNCMUR25

Job Title: Registered Nurse – Case Manager / Utilization Review / CDI Location: Syracuse, NY Type: Contract Shift... management and utilization review for patients in acute care settings. Ensure appropriate care coordination and discharge...

Company: NavitsPartners
Location: Rome, NY
Posted Date: 18 Oct 2025
Salary: $50 - 55 per hour

Registered Nurse - Case Manager / Utilization Review / CDI - RNCMUR25

Job Title: Registered Nurse – Case Manager / Utilization Review / CDI Location: Syracuse, NY Type: Contract Shift... management and utilization review for patients in acute care settings. Ensure appropriate care coordination and discharge...

Company: NavitsPartners
Location: Ithaca, NY
Posted Date: 18 Oct 2025
Salary: $50 - 55 per hour

Registered Nurse - Case Manager / Utilization Review / CDI - RNCMUR25

Job Title: Registered Nurse – Case Manager / Utilization Review / CDI Location: Syracuse, NY Type: Contract Shift... management and utilization review for patients in acute care settings. Ensure appropriate care coordination and discharge...

Company: NavitsPartners
Location: Utica, NY
Posted Date: 18 Oct 2025
Salary: $50 - 55 per hour

Registered Nurse - Case Manager / Utilization Review / CDI - RNCMUR25

Job Title: Registered Nurse – Case Manager / Utilization Review / CDI Location: Syracuse, NY Type: Contract Shift... management and utilization review for patients in acute care settings. Ensure appropriate care coordination and discharge...

Company: NavitsPartners
Location: Syracuse, NY
Posted Date: 18 Oct 2025
Salary: $50 - 55 per hour

Travel RN – Case Manager / Utilization Review / CDI - RNCM 25

Job Title: Travel RN – Case Manager / Utilization Review / CDI Location: Syracuse, NY 13210 Duration: 13 Weeks Shift...) specializing in Case Management, Utilization Review, and Clinical Documentation Improvement (CDI) for an acute care hospital...

Company: NavitsPartners
Location: Cicero, NY
Posted Date: 17 Oct 2025
Salary: $2894 per week