Average salary: $149,508 /yearly
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- ...The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital and...SuggestedFull timeWork experience placement
- ...day of hire. Job Title: Director of Inpatient Care and Utilization Review Department: Inpatient Services / Nursing & Clinical Operations... ...the Critical Access Hospital (CAH). This role has direct management responsibility for all inpatient unit staff and ensures the...SuggestedFull timeAll shiftsMonday to FridayShift workNight shiftWeekend work
Humboldt County Memorial Hospital
Humboldt, IA4 days ago $2,250 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Biddeford, Maine. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 05/25/2026 ~ Duration...SuggestedTemporary workImmediate startShift workWeekend workAMN Healthcare Revenue Cycle
Biddeford, ME4 days ago$2,250 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Palo Alto, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 05/17/2026 ~...SuggestedTemporary workShift workAMN Healthcare Revenue Cycle
Palo Alto, CA4 days ago$2,250 per week
...AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Houston, Texas. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 06/08/2026 ~ Duration: 13...SuggestedTemporary workLocal areaImmediate startShift workWeekend workAMN Healthcare Nursing
Houston, TX1 day ago$2,250 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Longview, Texas. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 05/25/2026 ~ Duration...SuggestedTemporary workImmediate startShift workAMN Healthcare Revenue Cycle
Longview, TX4 days ago$2,142 per week
...Travel Nurses, Inc. is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Kinston, North Carolina. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 05/26/2026 ~ Duration...SuggestedWeekly payImmediate startShift workTravel Nurses Inc
Kinston, NC4 days ago$31.94 - $43.92 per hour
...Coordination Perform medical + psychosocial assessments Create and manage discharge plans Coordinate with MDs, nurses, and social workers Lead care planning discussions Utilization Management Review medical necessity & admission status Ensure correct level of...SuggestedRelocation packageShift workWeekend workAfternoon shiftLancesoft INC
Tallahassee, FL19 days ago- ...RN Case Manager - Behavioral Health Utilization Review Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review. In this role, you will collaborate closely with healthcare providers...SuggestedImmediate start
MLee Healthcare Staffing and Recruiting, Inc
Goddard, KS3 days ago $1,100 per week
...Job Description VHS is looking for a qualified Registered Nurse - Case Manager/Utilization Review. City: Syracuse State: NY Start Date: TBD End Date: TBD Duration: 13 Weeks Shift: 8 Hours Days. Skills: Nursing W2 Pay Rate...SuggestedWeekly payDaily paidLocal areaShift workVieMed Healthcare Staffing
Solvay, NY2 days ago- ...embedded Healthguides™ and a centralized Managed Service Organization to build stronger... ...patients.What You'll Be DoingUtilization Review & Clinical DeterminationsComplete timely... ...varied healthcare settings.Knowledge of utilization review, managed care processes, and community...SuggestedBi-weekly payFull timeTemporary workFor contractorsLocal areaRemote work
Guidehealth
Peoria, IL4 days ago $103.3k - $142k
...secure, and its solutions are tailored for utilities, data centers, renewables, industrial,... ...sectors. The Business Development Manager position is remote and may be based in... ...functional collaboration. You'll start by reviewing pipeline activity and preparing reaching...SuggestedContract workTemporary workLocal areaRemote workVisa sponsorshipFlexible hoursCrown Technical Systems
United States4 days ago$30 - $45 per hour
...talented Operations Specialist III – Medicaid / Medi-Cal (Epic + Utilization Review. This is a 06+months contract opportunity with long-term... ...and abstract data within Epic (HealthConnect preferred) ~ Manage assigned review queues and documentation workflows ~ Track...SuggestedContract workLocal areaImmediate startRemote workPyramid Consulting
Long Beach, CA4 days ago- ...safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved... ...varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred....SuggestedFull timeLocal area
- ...in switching power supplies and thermal management products with a thriving portfolio of innovative... ..., you will be managing contracts for utility scale energy projects including... ...fluency. Deep background in drafting, reviewing and negotiating commercial terms of supplier...SuggestedContract workFor contractorsLocal areaWorldwide
Delta Electronics (Americas)
Morrisville, NC4 days ago $85.21k - $145.1k
...Contract Manager Utility Zones Functional Title - Contract Manager Utility Zones Reports to - Section Manager, Project Engineer... ...Project Engineer with bid specifications; performs the design, review, and distribution of sewer house connection renewal work; conducts...Full timeContract workTemporary workPart timeFor contractorsWork at officeLocal areaNight shiftWeekend workWSSC Water
Temple Hills, MD1 day ago$110 - $130 per hour
...healthcare staffing company is seeking a Medical Director to lead utilization management and quality improvement for Medicare inpatient care. This... ...in FL and TX. Key responsibilities include performing reviews of inpatient and post-acute services, mentoring provider relationships...Remote workSPECTRAFORCE
Wausau, WI1 day ago- ...A leading healthcare provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant experience in healthcare settings. Responsibilities...Remote work
Guidehealth
Chicago, IL4 days ago $72.23 - $99.98 per hour
...Description The RN Case Manager is responsible for carrying out effective case management... ...RN Case Manager assists patients in the utilization of appropriate health care services.... ...required to know and understand will be reviewed and evaluated during job specific/...Daily paidMinimum wageLocal areaShift workProvidence
Napa, CA14 days ago$90k - $125k
...Description Job Description Quality Control Manager Location: Phoenix Metro Area (Field-... ...for ensuring that underground utility construction projects meet established quality... ...builts and project closeout documentation. Review material submittals and verify materials...For subcontractorWork at officeLocal areaLHH US
Phoenix, AZ14 days ago- ...Job Description Description: The Assistant Director, Utilization Review is responsible for assisting the Director, Utilization Review... ...present information (in small to large group situations) to management and staff •Ability to apply proper grammar, spelling, punctuation...Work at officeLocal area
Nexus
Schertz, TX25 days ago - ...care in the world to our patients. Be a part of the Insight Chicago team that provides patient care second to none!/ph3ED Utilization Review/Case Manager/h3pThe ED Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by...Work at office
$77.96k - $120.37k
...Utilization Review Case Management Supervisor The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management...Minimum wageFull timeWork at officeLocal areaRemote workFlexible hoursNight shift- ...is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in inpatient care. The role... ...of clinical experience, with a focus on hospital medicine and utilization review. Join a distinguished team to impact patient outcomes while...Remote work
Humana
Columbus, OH4 days ago $250k
...A national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. This full-time role emphasizes adherence to workflow timelines and requires an MD or DO degree along with board...Full timeRemote workIntegra Partners
Troy, MI2 days ago$35.87 - $51.57 per hour
...communities we serve. Summary: The Care Manager RN plays a crucial role in providing... ...UNC Health. This position involves utilizing a variety of skills, including risk segmentation... ...Organization Unit: Utilization Review/Case Mgmt Work Type: Per Diem...Hourly payDaily paidUNC Health
Siler City, NC21 hours ago$223.8k - $313.1k
...organization is seeking a Medical Director in Jefferson City, Missouri. The role involves conducting clinical reviews of inpatient records and making utilization management determinations. Candidates should possess an MD or DO, an active medical license, and at least 5 years...Remote workHumana
Jefferson City, MO4 days ago$125 per hour
...Utilization Review Case Manager coordinates the care and service of selected patient populations across the continuum. S/he works collaboratively with physicians and other members of the health care team/ third party payers as indicated to achieve the highest quality clinical...Shift workMedNinjas
Clarkston, WA2 days ago$65 per hour
...RN Case Manager / Utilization Review - Syracuse, NY (\#25268) Location: Acute Care/Academic Medical Center, Syracuse, NY Employment Type: Full-time Hourly Rate: $65/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing...Hourly payFull timePrivate practiceMonday to FridayDay shiftGreenLife Healthcare Staffing
Syracuse, NY1 day ago$46.44 - $69.66 per hour
...of America) Department 8790 Case Management The RN Case Manager assesses plans,... ...medical, and psychological issues arise. Reviews medical records of patients for proper... ...disciplines which enhances appropriate utilization of post-acute levels of care....Full timeShift workKAWEAH HEALTH
Visalia, CA3 days ago
