Utilization Manager Jobs

Champion the Utilization Management program by leading a team to ensure high-quality service and adherence to clinical guidelines. Collaborate across functions to drive performance, facilitate continu...

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

Empower teams by supervising utilization management operations across hospitals, ensuring compliance with best practices while mentoring staff and collaborating with interdisciplinary teams to enhance...

Elevate patient care by ensuring accurate status assignments, validating medical necessity, and managing utilization effectively while collaborating with a cross-functional healthcare team to enhance...

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

Shape compliance strategies by leading oversight of regulatory adherence and risk management across multiple business functions, ensuring effective reporting, investigations, and resource allocation f...

Lead the charge in enhancing patient care by overseeing the Utilization Management team, ensuring compliance, operational excellence, and quality outcomes in a collaborative healthcare environment...

Lead the future of utilization management by overseeing operations, mentoring a dynamic team, and driving quality and compliance in patient care. Collaborate with stakeholders and improve healthcare o...

Lead the charge in operational excellence and compliance within the Utilization Management department, guiding a team of nursing professionals to enhance patient care and efficiency while collaboratin...

Shape patient care by managing utilization, ensuring quality outcomes, and optimizing resources. Collaborate with healthcare teams to enhance care management and discharge planning for improved patien...

Elevate healthcare delivery by leading the DSNP Optum team, driving quality care coordination with multi-disciplinary collaboration. Champion ongoing development and performance metrics to ensure opti...

Oversee a dynamic healthcare utilization management team, ensuring quality care through effective supervision of clinical reviews. Collaborate on initiatives to enhance processes and support team deve...

Empower healthcare delivery by utilizing clinical expertise for utilization management. You'll analyze requests, determine medical necessity, and facilitate communication across departments, ensuring...

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...

Advance the effectiveness of our utilization management team, ensuring compliance with best practices, improving member experiences, and managing daily operations to achieve optimal outcomes and cost...

Unlock potential by leading efficient utility operations across diverse Alaskan locations. Oversee maintenance, safety, and compliance, ensuring optimal performance while fostering a culture of safety...

Transform patient care management by leading a skilled team to assure quality, efficiency, and compliance in healthcare services. Your guidance will drive utilization strategies while fostering collab...

Lead effective utilization management strategies to enhance patient care, ensuring regulatory compliance, overseeing service requests, and collaborating with managed care organizations to optimize tre...

Grow with us as a Unit Manager, overseeing clinical operations and supporting staff in delivering exceptional resident care in a newly expanded unit of our skilled nursing facility...

Drive exceptional resident care as a Unit Manager, overseeing clinical operations, leading nursing staff, and fostering a compassionate, collaborative environment in a newly expanded skilled nursing w...

Engineer mental health care initiatives by leading utilization management operations, overseeing a team focused on service optimization and patient recovery transitions across King County's behavioral...

Transform task management by monitoring, coordinating, and delivering updates to ensure efficient workflow and communication among stakeholders, driving organizational objectives and supporting leader...

Transform healthcare delivery by leading a dynamic team to optimize patient referrals and resource utilization, ensuring quality care across primary care clinics. Collaborate with stakeholders to enha...

Empower patient care by driving efficient authorization processes, leveraging strong clinical knowledge and advocacy to navigate insurance complexities while supporting a collaborative team dedicated...

Engage with us to transform patient care by utilizing your RN expertise in a non-clinical setting. You will review authorization requests, coordinate care, and collaborate with health professionals to...