Average salary: $149,508 /yearly
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- ...Territorial Epidemiologists is seeking a Clinical Review Supervisor to provide operational supervision of clinical staff conducting utilization reviews and specialty review activities.... ...skills. This role supports quality management initiatives aimed at improving healthcare...SuggestedRemote work
Council Of State and Territorial Epidemiologists
Las Vegas, NV4 days ago - ...Territorial Epidemiologists is looking for a Clinical Review Supervisor to oversee clinical staff conducting utilization reviews. This fully remote position requires... ...context and a proactive approach to quality management. Key responsibilities include supervising utilization...SuggestedRemote job
$2,250 per week
...AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Leandro, California.Job Description & Requirements * Specialty: Utilization Review * Discipline: RN * Start Date: 07/20/2026 * Duration: 13 weeks * 36 hours...SuggestedTemporary workLocal areaShift workWeekend workAMN Healthcare Nursing
San Leandro, CA5 days ago- Vivian Health is seeking a Travel Nurse RN Case Manager specializing in Utilization Review for a role in Somerville, Massachusetts. You will supervise a team of care coordinators, ensuring best clinical practices and compliance. The ideal candidate holds a Bachelor's Degree...SuggestedRemote workMonday to FridayFlexible hours
- Wisconsin Psychiatric Association Inc is looking for a Cardiovascular Utilization Management Reviewer to contribute to patient care in a non-clinical setting. This remote role allows for collaboration with a dynamic team and offers both part-time and full-time options,...SuggestedRemote jobFull timePart time
$1,972 per week
GQR Healthcare is seeking a travel nurse RN Case Manager specializing in Utilization Review for a 13-week assignment in Fall River, Massachusetts. The role involves providing case management to patients and conducting utilization reviews. This position offers an estimated...Suggested- Vivian Health is seeking a travel nurse RN specializing in Case Management for a 13-week contract in Attleboro, Massachusetts. The role... ...with no weekend requirements and responsibilities such as utilization review and coordinating care for patients. Exceptional benefits,...SuggestedContract workDay shift
- ...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
- RailPros in Chicago is looking for a Senior Engineering Manager to lead the utility review and design team. This role requires strong leadership skills and a background in engineering. The ideal candidate will have at least 5 years of experience and a bachelor's degree...Suggested
$100k - $160k
...passengers, and partner companies, continuously innovating to help our customers succeed. Job Summary The Senior Engineering Manager - Utility Review & Design uses creativity, foresight, and mature judgment to anticipate and solve unprecedented problems. The role makes...SuggestedFull timeWork at officeFlexible hoursShift work$110k - $203.51k
..., scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive... ...** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to work **remotely** . However, the client is located in...SuggestedFor contractorsFor subcontractorLocal areaRemote workWorldwideRelocationVisa sponsorshipFlexible hours$89.76k - $127.98k
...Position Summary This position is responsible for performing utilization management and concurrent review activities to ensure appropriate level of care determinations for patients receiving inpatient, observation, emergency, and outpatient services. The role includes...SuggestedWork at officeFlexible hoursWeekend workWeekday workStony Brook University
Stony Brook, NY4 days ago- Job Purpose:- The Utilization Review Manager - RN at LIFESTREAM BEHAVIORAL CENTER is responsible for overseeing the utilization review process to ensure that patient care services are delivered efficiently and effectively. This role involves collaborating with healthcare...SuggestedLocal areaFlexible hours
- ...Louis, Saint Louis, MO, US 2 days ago Requisition ID: 9199 UR Manager Full Time St. Louis, MO, US Join Us to Build Healing and... ...hope for thousands of children and teens. Job Summary The Utilization Review department carries with it the responsibility of managing...SuggestedFull timeTemporary workWork at office
- ...have been deferred for medical necessity review. Ensures compliance with nationally... ...improvement opportunities, while helping to manage and hold the team accountable for quality... ...Work Experience: 5 years clinical and utilization review to include 2 years supervisory or...SuggestedFull timeFor contractorsWork experience placementWork at officeLocal areaRemote workMonday to Friday
- ...excellent customer service and internal support, the full-time Utilization Review Coordinator will access and triage cases, respond to... ...Enters demographics and UR information into claims or clinical management systems, maintaining data integrity Required qualifications...Full timeWork at officeRemote work
Virtual Vocations Inc
United States4 days 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 include...Remote work
Guidehealth
Chicago, IL15 hours ago $103.3k - $142k
...this use or DeclineBusiness Development Manager - Eastern Region page is loaded## Business... ..., and its solutions are tailored for utilities, data centers, renewables, industrial, and... ...collaboration. You’ll start by reviewing pipeline activity and preparing reaching...Contract workTemporary workLocal areaRemote workFlexible hours- ...Utilization Review Coordinator Per Diem Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate... ...related experience and/or training preferred Must have some management experience with a demonstrated leadership ability and skills...Daily paidTemporary workReliefLocal area
Alan B. Miller Medical Center
Savannah, GA4 hours agonew - .... Serves as liaison to on-site external reviewers. Uses Midas for recording reviews and tracking... ...department director of changes in managed care companies. Maintains awareness of unique... ...study required. Six months psychiatric utilization review either for hospital or external...Local areaFlexible hours
Alan B. Miller Medical Center
Washington DC4 hours agonew - ...A healthcare provider in Savannah, GA is seeking a Per Diem Utilization Review Coordinator. The role involves coordinating Utilization Review functions, ensuring timely and appropriate processes, and maintaining confidentiality. Candidates must possess a Master's degree...Daily paid
Universal Hospital Services
New York, NY4 days ago - ...Utilization Review Coordinator Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15 years... ...opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with...
Wellington Regional Medical Center
Augusta, GA4 hours agonew - ...verification of benefits for incoming patients. Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations/managed care companies....Local area
Universal Health Services
West Columbia, SC4 hours agonew - ...Overview PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize... ...professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate...Work at officeLocal area
Acadia Healthcare
Chandler, AZ4 hours agonew $19.96 - $24.96 per hour
...Utilization Review Coordinator The Utilization Review Coordinator provides a broad range of clerical and technical support for Utilization Management and Home Safety Modifications. Performance Responsibilities and Standards Provides a wide range of administrative support...Temporary workWork at officeImmediate startShift workNascentia Health
Syracuse, NY4 hours agonew$20 - $30 per hour
...industry by delivering exceptional care, utilizing state-of-the-art facilities, and... ...Reports to: SeniorDirector of Revenue Cycle Management Department/Location: Remote FLSA Status:... ...Requirement: None Responsibilities Utilization Review on Behalf of the Clinics: Prescreen...Remote workGuidelight Health
New York, NY2 days ago- ...verification of benefits for incoming patients. Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations/managed care companies....Local area
Alan B. Miller Medical Center
West Columbia, SC4 hours agonew - ...Position Overview: We are seeking a detail-oriented, proactive Utilization Review (UR) Coordinator to support insurance authorization... ...coordination of care Denials & Appeals Support: Assist with denial management, support appeal efforts with case summaries and clinical...
Your Behavioral Health
Torrance, CA4 hours agonew - ...Job Title Provide Utilization Review and Case Management to the Emergency Department population who present with social and or discharge needs which may prevent them from returning to their current environment. Will provide hospital wide Utilization Review and Case Management...Full timePart time
Freeman Health System
Loma Linda, MO4 hours agonew - ...quality of resident care, to promote continuity of care and cost effectiveness through the integrating and function of case management, utilization review and discharge planning. Essential Functions : Facilitates communication regarding resident treatment process and needs...Work experience placementLocal area
Universal Health Services
Portsmouth, VA4 hours agonew
