Get new jobs by email
  •  ...Building Operations, Physical Plant, and Utilities oversees daily operations, maintenance,...  ...and repair work, assisting with budget management, ensuring compliance with safety regulations...  ...plans.Coordinates, supervises, and reviews work of consultants engaged to serve the... 
    Suggested
    Permanent employment
    Full time
    Work at office
    Remote work
    Flexible hours

    North Carolina Agricultural and Technical State University

    Greensboro, NC
    1 day ago
  •  ...of behavioral health problems. As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient... 
    Suggested
    Local area

    Forest View Hospital

    Grand Rapids, MI
    3 days ago
  • $160k - $180k

     ...Testing, Inspection & Consulting; Infrastructure; Utility Services; Environmental Health Sciences; Buildings & Program Management; and Geospatial Technology. With offices...  ...avoiding scope fragmentation.Direct design quality reviews and interdisciplinary coordination to ensure... 
    Suggested
    Full time
    Contract work
    Seasonal work
    Work at office
    Local area
    Remote work

    nv5 global

    Walnut Creek, CA
    14 hours ago
  •  ...Job Title: Utilization Review Case Manager Status: Full-Time, Non-Exempt, Hourly Schedule: 8:00am-4:30pm PST Join AMFM Healthcare as a Utilization Review Case Manager! The Utilization Review (UR) Case Manager serves as a key member of the interdisciplinary... 
    Suggested
    Hourly pay
    Full time
    Work at office
    Local area
    Immediate start
    Flexible hours

    A Better Life Recovery LLC

    San Juan Capistrano, CA
    2 days ago
  • $80k - $90k

     ...to provide exceptional service. What you’ll do The UM Review Coordinator performs review of clinical information submitted...  ...on the criteria, refer case to Peer Reviewer Conduct utilization management of appropriate level of care and length of stay using standardized... 
    Suggested
    Full time
    Casual work
    Work at office
    Remote work
    Flexible hours

    Health Plans

    United States
    4 days ago
  • $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... 
    Suggested
    Full time
    Work at office
    Flexible hours
    Weekend work
    Day shift
    Weekday work

    Stony Brook Medicine

    Stony Brook, NY
    14 hours ago
  •  ...Job Title Utilization Management Nurse Job Description The Corporate UM and Denials team is responsible for: medical necessity reviews, admission status determinations, ongoing payer communication, clinical documentation support, concurrent utilization review... 
    Suggested
    Work at office
    Remote work

    Orlando Health

    Orlando, FL
    14 hours ago
  • $55k - $70k

     ...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000...  ...plays a critical role in ensuring both clinical quality management and financial viability for our partner facilities. This position... 
    Suggested
    Full time
    Work at office
    Remote work

    Quadrant Health Group

    Boca Raton, FL
    10 days ago
  • $82.99k - $109.2k

     ...Consultants is actively seeking a qualified Lead or Senior Project Manager - Utility Permitting with strong interpersonal skills and experience...  ...0) years preferredApplication deadline: Our team will begin reviewing applications immediately, and interviews will be scheduled... 
    Suggested
    Full time
    Work at office
    Local area
    Immediate start

    SWCA

    Scarborough, ME
    4 days ago
  • $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... 
    Suggested
    Remote work

    Guidelight Health

    New York, NY
    3 days ago
  •  ...pivotal role will be responsible for overseeing and performing utilization reviews, prior authorizations, and making crucial medical necessity...  ...Care Coordinators, and Operations, to optimize utilization management processes and improve member outcomes. Contribute to the... 
    Suggested
    Full time
    Remote work
    Flexible hours

    Jobleads-US

    Austin, TX
    4 days ago
  •  ...Utilization Review Specialist The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to...  ...closely with healthcare providers, insurance companies, and case managers to facilitate timely approvals and optimize patient outcomes... 
    Suggested
    Remote work

    Bradford Health Services

    United States
    4 days ago
  •  ...patients-we invest in our people. About the Role: The Utilization Review Specialist plays a critical role in ensuring that healthcare...  ...with healthcare providers, insurance companies, and case managers to facilitate timely approvals and optimize patient outcomes... 
    Suggested
    Part time
    Remote work

    ADDICTION AND MENTAL

    United States
    14 hours ago
  •  ...Patient Chart Reviewer In this position you will be reviewing patient charts to determine if pre-elective surgical cases should...  ...3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred. Certifications/... 
    Suggested
    Remote job
    Full time
    Monday to Friday

    Henry Ford Hospital

    Troy, MI
    3 days ago
  • Freese and Nichols is seeking Sr. Project Manager - W/WW Transmission and Utilities in Jacksonville, Florida. You’ll step into a seller-doer role built...  ....Oversee quality by guiding technical approaches, reviewing key deliverables, and ensuring work meets firm standards... 
    Suggested
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    Freese and Nichols

    Jacksonville, FL
    4 days ago
  •  ...no remote work***The Director of Project Management provides strategic leadership and...  ...performance of large-scale and complex utility services projects and programs at Osmose...  ...corrective action.Lead portfolio and program reviews focused on financial performance, delivery... 
    Contract work
    Remote work

    Osmose

    Atlanta, GA
    4 days ago
  • Freese and Nichols is looking for Sr. Project Manager - W/WW Transmission and Utilities in Charlotte, NC. In this role, you’ll lead complex W/WW conveyance...  ...engineers and technical staff through coaching, review, and feedback.Support business development by contributing... 
    Full time
    Contract work
    Local area
    Remote work
    Flexible hours

    Freese and Nichols

    Charlotte, NC
    4 days ago
  • $50k

     ...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per year,...  ...Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary... 
    Remote work

    Advanced Recovery Systems LLC

    New York, NY
    4 days ago
  •  ...Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing with insurance and managed care entities. The role covers pre-certification, concurrent reviews, and appeals with a... 
    Remote work

    Santa Barbara Cottage Hospital

    New York, NY
    4 days ago
  • OVERVIEW: McKim & Creed is looking for a Water/Wastewater Utilities Group Manager. This is a senior hybrid role combining technical leadership...  ...oversee calculations, reports, technical markups, and QA/QC reviews.Serve as Engineer of Record where appropriate.Manage... 
    Full time
    For contractors
    Work at office
    Local area
    Day shift

    McKim & Creed

    Pensacola, FL
    4 days ago
  •  ...Medical Director, Utilization Management The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication...  .... In this role you will deliver and collaborate on clinical review activities, which includes management of the physician processes... 
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Home office
    2 days per week

    Blue Shield of California

    San Diego, CA
    2 days ago
  •  ...Alliance Health is seeking a UM Clinical Specialist-LTSS for full-time remote work, NC-based. You will perform utilization reviews and authorizations for I/DD and TBI waivers, ensuring services meet clinical guidelines and are provided in the least restrictive setting.... 
    Full time
    Remote work

    Alliance Health in

    Morrisville, NC
    2 days ago
  •  ...Seeking an experienced and detail-driven Utilization Review Specialist, the full-time remote position will manage a caseload of 50-75 patients, conducting admission and continuing-stay reviews, coordinating authorizations, and serving as a liaison between clinical operations... 
    Full time
    Remote work

    Virtual Vocations Inc

    United States
    14 hours ago
  • $128.86k - $286.36k

     ...Speciality Client Partner Manufacturing Energy/Utilities industry (Remote) to join our team in...  ...through a focus on strategic account management.You’ll collaborate closely with Launch...  ...account planning and executive business reviews, ensuring clients see measurable value and... 
    Temporary work
    Work at office
    Remote work
    Flexible hours

    NTT DATA

    Philadelphia, PA
    1 day ago
  • $140k - $165k

    Service Operations Manager - Solar Utility ServicesPosition OverviewService Operations Manager is a critical leader within Schneider Electric’...  ...within the United States. Our salary ranges are determined by reviewing roles of similar responsibility and level. Within the... 
    Ongoing contract
    Full time
    Contract work
    Temporary work
    For subcontractor
    Local area
    Flexible hours

    Schneider Electric

    Denver, CO
    2 days ago
  •  ...Job Description Job Description Overview Director of Utilization Review (RN) – Midland/Odessa, Texas Signet Health is seeking an...  .... Signet Health is one of the larger behavioral health management companies in the United State with programs nation-wide. We... 
    Work at office
    Remote work
    Relocation package

    Signet Health Corporation

    Midland, TX
    9 days ago
  • $154.7k - $200k

     ...Solutions team in the Northeast to address the needs of its expanding client base. We are seeking a strategic Contract & Project Manager for Utilities to support the growth of utility accounts in the Northeast for the Transmission & Distribution (T&D) sector. This role is... 
    Full time
    Contract work
    Remote work

    Jacobs

    Boston, MA
    4 days ago
  •  ...Utilization Review Specialist | Remote | Full-Time Banyan Treatment Centers is seeking an experienced and detail-driven Utilization Review...  ...Specialist to join our corporate team. In this remote role, you'll manage a caseload of 5075 patients, conducting admission and... 
    Full time
    Temporary work
    Remote work

    Banyan Treatment Centers

    Pompano Beach, FL
    4 days ago
  •  ...ABA Utilization Review Specialist Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client's revenue cycle is managed in the... 
    Work at office
    Remote work
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    3 days ago
  • $41.6k - $47k

     ...Utilization Review Specialist At Umpqua Health, we're more than a healthcare organization we're a community-driven Coordinated Care Organization...  ...completion of prior authorization requests within Medical Management. This role is responsible for ensuring accurate and timely... 
    Work at office
    Local area
    Immediate start
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    Umpqua Health

    Roseburg, OR
    14 hours ago