Clinical Utilization & Denial Manager
Virtua Health
Virtua Health in Pennsauken Township, NJ, is seeking a Utilization Management professional. The role focuses on maintaining compliance and achieving patient outcomes through appropriate medical necessity tools. Candidates should have a nursing background, preferably with clinical experience and an understanding of managed care. The position includes managing denials, consulting with physicians, and documenting assessments. A comprehensive benefits package is also offered to both full-time and part-time colleagues. #J-18808-Ljbffr Virtua Health
- ...Description Job Description The IBHS Clinical Care Manager – Neurodevelopmental Services (CCM-ND) is responsible for utilization management by conducting utilization review... ...Supervisor as clinically appropriate. Generate denial letters based on physician consults and in...SuggestedWork experience placementLocal areaDay shift
- ...Job Description Job Description The Clinical Care Manager is responsible for care coordination,... ...quality monitoring and potentially utilization management. The Clinical Care Manager... ...resiliency and recovery. Generate denial letters based on physician reviews and...SuggestedWork experience placementLocal areaDay shift
- ...Job Description Job Description The Clinical Care Manager (CCM) is responsible for delivering... ...across multiple systems, ensures timely utilization management (UM) activities, and... ...activities in electronic systems and generate denial letters when applicable. Conduct...SuggestedWork at officeLocal areaWork from homeFlexible hours
- ...Job Description Job Description The Clinical Care Manager is responsible for utilization management by conducting utilization review activities, population... ...Leadership as clinically appropriate. Generate denial letters based on physician reviews and in accordance...SuggestedWork experience placementLocal areaDay shift
- ...Job Description Job Description Clinical Care Coordinator Who we are: CAMcare is... ...clinical care coordination, population health management, care transitions, and quality/safety... ...clinical quality measures (CQMs). Utilize registries and reports to proactively manage...SuggestedLocal area
- Tractor Supply Company is seeking an Assistant Field Operations Manager to oversee field office and clinic operations, ensuring strong leadership and consistent service delivery. You will manage facilities, staff, and inventory while building partner relationships and...Work at office
- ...shape the future of PCI.Responsible for management and growth of a specific territory on the... ....Participate in tradeshows, exhibits, clinical Seminars, client events and professional... ...expansion of strategic accounts, including utilizing and directing PCI resources. As well as...Full time
$122k - $160k
...Liberty airport.Position SummaryCatalent is a global leader in clinical supply services, working with clinical trial sponsors of all sizes... ...and ensure reliable global supply chain execution.As Contracts Manager, you will be a strategic partner to Business Development, Site...Full timeContract workWork at officeLocal areaMonday to FridayFlexible hoursShift work$141.5k - $235.9k
The enterprise clinical team is reimagining its global talent model to support The Cigna... ...at scale. This position reports to the Managing Director, Enterprise Clinical Strategy and... ...operating model, including scope such as utilization management, case management, pharmacy...Full timeContract workLocal areaWork from home- ...Description Job Description RN Director of Clinical Services Reports to:... ...five (5) years' experience in health care management. Demonstrates an ability to supervise... ...service hours. 12. Monitors service utilization to ensure delivery of comprehensive care...Full timeWork at officeLocal area
- ...Care, at the Right Time, in the Right Place. Job Description: Clinical Team Manager Full Time Cherry Hill NJ Salary 90-92K At Elara Caring, we... ..., and on time. Review productivity, billing, and utilization reports, identifying opportunities to improve operational efficiency...Full time
- ...Job Description Job Description Regional Director of Clinical Services (Skilled Nursing) We are conducting a search for a Regional... ...leadership staff. Lead and assist with survey readiness and manage responses to any deficiencies. Collaborate with...
- Position SummaryCatalent is seeking a General Manager to lead its Philadelphia Clinical Supply Services (CSS) operation, the company's North American Center of Excellence for clinical supply packaging, labeling, storage, and distribution supporting global pharmaceutical...Full timeContract workLocal areaWorldwide
$120k - $160k
GFT is seeking a Project Manager to join our team. If you are in Chicago, IL, Phoenix, AZ, Charlotte, NC, St. Louis, MO, Marlton, NJ,... ...solutions for power transmission, distribution, and renewable energy, utilizing advanced technologies and creative problem-solving to meet...Full timeContract workFor subcontractorRemote work$80k - $100k
...impact - innovating at the speed of life. As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged... ...Business System which makes everything possible. The Project Manager, Clinical Lab Equipment Installation is responsible for managing...Full timeLocal areaRemote workWork from homeFlexible hours- Woods Services in Mount Holly Township, NJ, seeks a leader to oversee clinical services at a state-certified special education school and residential treatment facility. In this full-time position, you'll ensure adherence to therapeutic values and lead quality improvement...Full timeRemote workFlexible hours
$75k
...participation and employer match Salary: $75000 / annually - depending upon education / experience / licensure. Summary: Oversee and manage clinical services at a New Jersey State-certified special education school and accredited residential treatment facility. You'll lead...Full timeRemote workFlexible hours- ...Responsibilities What You Will Do: Organize, develop, manage, and direct the home health functions of your community health... ...and Company policy Prepare and maintain accurate and complete clinical and progress notes on a timely basis Qualifications Qualifications...Weekly payImmediate startRelocation packageFlexible hours
- ...supplies necessary to operate the facility. Performing staff management duties. ESSENTIAL DUTIES AND RESPONSIBILITIES: · Staffing... ...and orientation of racing karts and race track barriers · Utilizing racing flags and instructional signs as tools · Carefully...Work at office
- ...Clinical Care Manager RN Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting... ...patients with chronic diseases and high medical service utilization. Collaborates with physician and practice staff in identifying...Full timeRemote work
$128.86k - $286.36k
...currently seeking a Speciality Client Partner Manufacturing Energy/Utilities industry (Remote) to join our team in Philadelphia,... ...drive sustainable growth through a focus on strategic account management.You’ll collaborate closely with Launch teams—strategy, design,...Temporary workWork at officeRemote workFlexible hours$88k - $104.5k
...Business Development Manager Location: South Jersey | Type: Full-time | Schedule... ...referral pipeline. Stay Organized : Utilize CRM tools as a strategic resource to plan... ...working directly with physicians, nurses, and clinical staff. Sales Experience : Knowledge...Full timeTemporary workPart timeWork at officeLocal areaMonday to FridayFlexible hours- Global Director of Procurement - Clinical Supply Services Position Summary:Catalent’s Philadelphia site is a dynamic hub specializing... ...procurement teams with full accountability for performance, supplier management, and sourcing strategies. The position focuses on driving cost...Full timeContract workLocal areaWorldwide
- ...the world’s most critical — and most dynamic — industries?The Utilities Industry is transforming at unprecedented speed. Clean energy... ...Utilities-specific capabilities such as customer systems, energy data management, demand response, asset operations, regulatory reporting,...Full timeWork experience placementLive inWork at officeLocal area
- ...the world’s most critical — and most dynamic — industries?The Utilities Industry is transforming at unprecedented speed. Clean energy... ...Utilities-specific capabilities such as customer systems, energy data management, demand response, asset operations, regulatory reporting,...Full timeWork experience placementLive inWork at officeLocal area
$110.7k - $218.3k
...deliver capital projects with confidence Help organizations plan, manage and control project cost and schedule through construction... ...construction management4+ years of experience working within the power utilities and or/renewable energy industry with exposure to transmission...Contract workLocal area$175k - $195k
Job DescriptionDewberry’s growing Commercial Utilities - Energy/Renewables Group is looking for a Senior Project Manager to play a key role in delivering complex, high‑impact infrastructure projects. You’ll work alongside multidisciplinary teams to provide full‑service...Full timeTemporary workLocal areaFlexible hours- BAYADA Home Health Care in Saddle Brook, NJ is seeking an RN Clinical Manager Designee to oversee a 40-50 client caseload remotely from our office. This role partners with 2-3 Visiting RN Designees to supervise in-home visits and ensures timely documentation, physician...Work at officeRemote workMonday to Friday
- ...Learning Officer, Chief Talent Officer, or CHRO alongside your Managing Director, where your ability to build trust, shape thinking,... ...and executive advisoryMinimum of 3 years of experience in the Utilities IndustryBonus points if you have:Demonstrated fluency with generative...Full timeLive inWork at officeLocal area
- ...strategy, leadership development, employee experience, change management and beyond. Visit us here to find out more about Talent and Organization... ...transformationMinimum of 1 year of experience serving utilities clients (electric, gas, or water) or in a utilities finance,...Full timeLive inWork at officeLocal areaShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Utilization & Denial Manager. Be the first to apply!



