Utilization Manager Jobs

Transform patient care by conducting utilization reviews to ensure compliance with medical necessity and regulatory standards, while collaborating with treatment teams to streamline processes and impr...

Lead and oversee a team in utilization management, ensuring high-quality, cost-effective care delivery through various programs. Collaborate with staff to enhance processes and support clinical practi...

Lead the charge in shaping effective care delivery through oversight of utilization management. Supervise a dynamic team to drive quality outcomes, streamline processes, and enhance patient experience...

Lead the charge in enhancing patient care through strategic oversight of Utilization Management. Oversee interdisciplinary collaboration, ensure compliance, and implement effective systems to improve...

Lead the Utilization Management team, overseeing operations for inpatient, outpatient, and long-term services. Innovate programs for quality and cost-effectiveness while ensuring compliance with regul...

Drive operational excellence by leading a team of patient navigators in managing non-clinical services for high-risk populations, ensuring seamless care transitions and effective service delivery in a...

Oversee the daily operations of non-clinical patient navigation services, ensuring efficient workflows, timely access to care, and high-quality service delivery while leading a team to support high-ri...

Join us to lead our clinical review team in ensuring optimal care for NICU members through effective utilization management. Drive process improvements and support day-to-day operations while fosterin...

Champion coordinated care by leveraging clinical nursing expertise to facilitate medical service determinations, ensuring optimal post-acute support for members. Collaborate with providers for effecti...

Unlock your potential in a vital operations role that enhances client care coordination, ensures timely execution, and fosters meaningful communication with clients and families, all while supporting...

Lead the charge in optimizing patient care access by managing pre-authorization requests and concurrent reviews, combining clinical expertise and relationship management to streamline processes and en...

Accelerate progress at the forefront of patient care by conducting detailed chart reviews and denying management. Collaborate across teams to enhance efficiency, improve outcomes, and ensure proper ut...

Transform utilization management through strategic leadership, ensuring service access and cost optimization while enhancing clinical outcomes and member satisfaction across various care settings...

Lead comprehensive health information management initiatives within a dynamic organization, ensuring compliance and quality standards across hospital operations while enhancing educational activities...

Join a team that's dedicated to enhancing patient care through effective unit management, overseeing daily operations, ensuring regulatory compliance, and fostering staff development in a supportive l...

Empower our team as a leader in utilization management, overseeing compliance, guiding operational meetings, and enhancing treatment resource allocation, ensuring optimal patient care and collaboratio...

Lead the charge in managing operations and development for healthcare IT applications, ensuring their optimal performance and integration. Collaborate with teams to enhance technology solutions that a...

Drive operational excellence as you lead end-to-end delivery in a regulated manufacturing environment. Transform performance and foster continuous improvement while ensuring alignment across all contr...

Shape the future of mental health care as a Nurse Manager, leading a dedicated team in providing compassionate support to youth. Oversee patient care, staff development, and ensure a safe therapeutic...

Shape the future of patient care by evaluating medical necessity and ensuring compliance in healthcare services. Leverage your nursing expertise to improve quality outcomes while efficiently managing...

Pioneer in Mental Health Care! Leverage your expertise to ensure high-quality, cost-effective treatment as you lead the Utilization Review team in a therapeutic setting focused on patient-centered str...

Champion strategic sourcing initiatives and manage supplier contracts to deliver superior cost, quality, and service. Collaborate with stakeholders to execute RFPs, negotiate agreements, and maintain...

Elevate operational standards by leading the Claims Services team in driving excellence, enhancing processes, and managing daily operations. Utilize your health insurance expertise to support staff de...

Engage in the management of utilization processes, overseeing a team of Nurse Case Managers and Referral Coordinators. Ensure compliance, optimize workflows, and improve patient care through data-driv...

Transform patient care by coordinating clinical services and optimizing reimbursement, ensuring compliance with regulatory standards while fostering effective communication within the multidisciplinar...