Utilization Manager Jobs

Join a team that's dedicated to optimizing patient care by leading the Utilization Review department. Oversee operations, mentor specialists, and collaborate with clinical teams to ensure effective pa...

Transform healthcare delivery by ensuring quality, compliant care for PACE participants. Collaborate with interdisciplinary teams to optimize service utilization and enhance outcomes, leveraging clini...

Innovate in Utilization Management by leading operations, enhancing service reviews, and ensuring quality care. Drive cost-effective strategies and compliance while mentoring a skilled team focused on...

Join a team that's dedicated to enhancing healthcare by supervising the utilization management team, ensuring quality care, and implementing process improvements for optimal performance and compliance...

Champion operational excellence by leading Utilization Management programs, focusing on prior authorizations, inpatient reviews, and post-care management while collaborating with multidisciplinary tea...

Grow your leadership skills by overseeing the Utilization Management program, ensuring compliance with regulations, enhancing patient satisfaction, and leading a dedicated team within a collaborative...

Drive strategic oversight of utilization management, ensuring clinical reviews are effective, timely, and compliant. Collaborate across departments and with payers to enhance operations and improve re...

Lead the coordination of patient care while promoting positive outcomes through daily clinical reviews, quality documentation, and effective appeals management to optimize reimbursement in a psychiatr...

Apex is seeking a dynamic and organized Mission Manager to oversee the satellite bus development process and serve as the primary liaison between customers and internal teams. The role involves managi...

Optimize patient care by managing complex medical cases to enhance outcomes and reduce costs through effective coordination of healthcare services, ensuring adherence to established protocols and regu...

Join a team that's dedicated to optimizing revenue cycle operations, driving compliance, and enhancing financial sustainability through effective billing practices and cross-functional collaboration a...

Join us in leading configuration management efforts that ensure product integrity and lifecycles across engineering and supply chain functions. Play a key role in optimizing workflows, managing change...

Oversee configuration management activities, ensuring product integrity and compliance across engineering, quality, and supply chain functions while supporting government program requirements and lead...

Champion innovative strategies for network performance, advising clients on access and utilization challenges. Leverage expertise to elevate provider sustainability and deliver impactful results in Me...

Join a dynamic team to enhance client network strategies and performance in complex healthcare environments. Leverage expertise in utilization and provider management while advising senior clients and...

Join our team to lead utilization management and discharge planning efforts, enhancing patient outcomes, managing costs, and ensuring quality patient care through effective case management within a co...

Transform your career by leading utilization management in a dynamic behavioral health hospital. You will ensure compliance, optimize resources, and engage with payers while influencing clinical excel...

Join our team to ensure high-quality patient care through efficient management of offsite encounters. Your expertise will streamline communication, uphold standards, and liaise across all levels to fa...

Play a key role in enhancing operational efficiency by managing task workflows, ensuring compliance, and providing executive support for communications in a dynamic environment. Your organization and...

Drive operational excellence by managing workflow and tasking systems for federal leadership. You will facilitate communication, ensure compliance, and streamline processes in a fast-paced, high-tempo...

Join a team that's dedicated to delivering top-tier resident care while overseeing daily operations of a clinical unit. As a Unit Manager, ensure effective staffing, compliance, and continuous improve...

Manage and oversee multiple construction projects, ensuring they meet client expectations, safety standards, and operational goals. Drive strategic planning and execution while leading teams to achiev...

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...

Empower your career by leveraging your nursing expertise in a vital role reviewing medical necessity within workers' compensation, collaborating with healthcare providers and ensuring compliance with...

Champion exceptional care delivery by managing Utilization Management functions. Oversee compliance, implement policies, and lead a high-performing team to enhance healthcare services and sustain qual...