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...

Transform cell therapy operations through effective scheduling, continuous improvement, and team leadership. Drive efficiency by developing operational systems and collaborating cross-functionally to...

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...

Empower your career by managing utilization review processes, ensuring regulatory compliance, and fostering patient satisfaction at a leading addiction treatment facility. Lead a dedicated team to ach...

Shape healthcare delivery by leading the Utilization Management team, refining practices and policies to optimize resources and member outcomes while ensuring compliance and excellence in care...

Unlock potential by providing operational oversight in utilization management. Lead and manage staff while implementing strategic changes, collaborating across departments, and ensuring compliance wit...

Lead the charge in optimizing patient care and efficient utilization management, ensuring seamless collaboration between interdisciplinary teams and timely reviews for quality and compliance from admi...

Shape the future of healthcare utilization management and quality assurance! Collaborate with a multidisciplinary team to optimize patient care, enhance discharge planning, and ensure best practices f...

Lead a clinical team in Utilization Management to ensure high-quality, compliant care. Collaborate across departments, drive operational excellence, and support professional development while managing...

Pioneer innovative strategies in Utilization Management while leading a dynamic team of clinicians. Drive quality care outcomes and ensure compliance with Medicare and Medi-Cal regulations. Foster col...

Lead and support a clinical team in optimizing patient care through effective utilization management, ensuring compliance with regulatory standards while fostering high-quality outcomes and team perfo...

Transform care management by leading a team of clinicians to ensure optimal patient outcomes, applying advanced clinical knowledge to maintain high standards of utilization management across Medi-Cal...

Lead a team in ensuring safe and appropriate care for members by applying advanced clinical expertise. Manage utilization processes and collaborate cross-functionally to achieve high-quality outcomes...

Shape the future of healthcare by leading a vital team of clinicians in utilization management. Leverage your advanced clinical expertise and management skills to ensure safe, timely, and appropriate...

Join a dedicated team as you lead clinicians to drive high-quality utilization management outcomes, ensuring regulatory compliance and optimal member care through your leadership and operational exper...

Transform inpatient utilization management by leading a strategic team that enhances member engagement, optimizes quality care, and streamlines health resources in accordance with regulatory standards...

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 healthcare utilization management, ensuring compliance with regulations while enhancing patient care and managing denial appeals across multiple healthcare lines for impr...

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...

Transform the clinical review landscape by managing complex utilization reviews across diverse lines of business, ensuring compliance, quality, and efficiency, while being a key resource for peers and...

Empower the healthcare landscape by managing complex utilization reviews across diverse lines of business, ensuring compliance, quality, and efficiency in clinical practices while providing expert gui...

Optimize clinical review processes by managing complex utilization assessments, ensuring compliance, guiding peers, and enhancing service efficiency—all while maintaining accountability and supporting...