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Utility manager jobs

1-20 of 1152018 jobs

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ProLink Staffing

 ...The Utilization Management Nurse Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Utilization Management Nurse Reviewer works with healthcare providers to ensure appropriate... 
2 days ago
Tampa, FL

Affinity Health Plan

 ...PURPOSE OF THE POSITION: Under the direction of the VP of Medical Management, assures that Utilization Management Department objectives meet the internal operations Key Performance Indicators as well as the State Regulatory Guidelines for the following areas: Intake... 
2 days ago
Bronx, NY

Kelly Services

 ...Utilization Management Reps – Albany, NY We are seeking Utilization Management Reps for a large healthcare insurance company located in Albany. Title: Utilization Management Rep Location: Albany (12211) Pay: $17.25 hr. Hours: M-F 8am-8pm (8 hr.... 
7 days ago
Albany, NY

WilsonHCG

 ...efficient operation of the Mapleton maintenance department and plant utility department. Accepts responsibility for his or her own safety...  ...protection and product quality. RESPONSIBILITIES Manage the Mapleton maintenance function in a safe and cost-effective... 
11 days ago
Mapleton, IL

Energy Sciences

 ...Utility Program Manager Berkley, Detroit and Jackson Michigan As a utility program manager with Energy Sciences, you will join our team of degreed and licensed engineers, scientists, and efficiency professionals to meet the energy use challenges of commercial... 
2 days ago
Berkley, MI

K tek resourcing

 ...Position Summary: The Utilization Management Nurse Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Utilization Management Nurse Reviewer works with healthcare providers to ensure... 
14 days ago
Tampa, FL

The CSI Companies

 ...The CSI Companies is seeking a Utilization Management Review Nurse for our client in the Tampa, FL area. This would be an on-site position . CSITAMPA Primary Responsibilities:  Performs utilization management reviews in accordance with federal and state regulations... 
2 days ago
Tampa, FL

Kelly Services

$17.25 per hour
 ...Kelly Services is seeking an  Customer Service/ Utilization Management Rep for a healthcare company in Albany, NY! Job Title: Customer Service/ Utilization Management Rep Location: Albany NY Type: Contract (W2) Length: 3+ months Pay Rate - $17.25/hour... 
2 days ago
Albany, NY

Atkins

 ...of the world’s most respected design, engineering and project management consultancies. Atkins has been providing infrastructure planning...  ...-starter to join our Tampa, FL team as a Project Manager - Utilities . MAJOR FUNCTION/ROLE Under direction, applies... 
17 days ago
Tampa, FL

Magellan Health Services

 ...Maintains accountability for medical management functions to achieve the business and clinical outcomes for the health plan, meeting...  ...with providers and members to manage cost of care. Oversees utilization management and criteria-based reviews of care, clinical appeals... 
6 days ago
San Diego, CA

ProEnlist

 ...Job Description Responsibilities:  Manage the operations and support team within Health Care Services including the Call Center, Utilization Management or Care Management intake & review functions which includes but is not limited to prior authorization, concurrent... 
5 days ago
Beaverton, OR

Environmental Consultants (ECI)

 ...Project Manager – Utility and Construction We are currently seeking a  Project Manager  to join our team. ECI’s Project Manager for this project shall have demonstrated experience or related experience dealing with the construction projects (utility construction... 
12 hours ago
Orlando, FL

Pine Rest Christian Mental Health Services

 ...Pine Rest is seeking an experienced Utilization Management (UM) professional to join our Hospital Based Services (HBS) leadership team as a UM Clinical Services Manager (CSM). The leader in this role will provide management and clinical supervision to members of the... 
2 days ago
Grand Rapids, MI

Yale University

 ...Reporting to the Yale Health Medical Director, the Utilization Management RN is responsible for identifying opportunities to optimize the utilization of healthcare resources through the administration of the benefit for members of the Yale community. The Utilization... 
12 hours ago
New Haven, CT

Centene Corporation

 ...Oversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy and objectives of Corporate and the health... 
8 days ago
Tigard, OR

Pyramid Consulting

 ...Description Two most important attributes: 1) MUST have Project Management Experience in Electric Industry, Construction Management, and/...  ...is strongly preferred that the candidates have some Technical Utility (Transmission, Substation and/or Distribution) experience... 
9 days ago
Baltimore, MD

AMI Network

 ...Job Description One of the fastest growing Utilization Management providers in the country is searching for a Director of Utilization Management to their team! The organization provides innovative Utilization Review and Case Management solutions for Health Plans... 
6 days ago
Altamonte Springs, FL

PRIDE Healthcare

 ...Job Description A Utilization Management Registered Nurse is needed in Greensboro, NC for a  Schedule: December Start, 8hr Days M-F, On call once every 10-12 weeks, 13 week contract. Details: ~ Supports the Collaborative Utilization Management Model as a working... 
9 days ago
Greensboro, NC

New Leaf Staffing, Inc

 ..., and complete appropriate documentation. ~​Respond to provider inquiries and attempt to resolve provider concerns or refer to management for resolution. QUALIFICATIONS: High School Graduate or equivalent A minimum of one-year Healthcare related experience... 
8 days ago
Pasadena, CA

ProEnlist

 ...Job Description Overview:  Oversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy and objectives... 
5 days ago
Tigard, OR