Utilization Manager Jobs

Manager, Utilization Management - Responsible for managing the Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members and compli...

Manager Utilization Management is responsible for developing, coordinating, and managing the administrative and operational activities associated with the utilization management of medical services pr...

RN - Utilization Management role responsible for evaluating medical necessity, coordinating care, and ensuring appropriate utilization of healthcare resources...

Manager Utilization Management is responsible for overseeing the day-to-day operations of the Utilization Management Program, ensuring cost-effective and quality patient care through appropriate resou...

The Product Manager - Utilities is responsible for managing research and development activities relating to the design and development of i3 Verticals software products and qualification or re-qualifi...

The Director of Utilization Management is responsible for overseeing clinical documentation, supporting regulatory compliance, and developing the manager and staff...

Uphold and maintain a strong safety culture for all employees, clients, and customers that adhere to government regulations and Aecon safety standards...

Seeking a passionate and experienced Utilities Manager to ensure the smooth operation of refrigeration and boiler systems.

The Utility Development Program Manager is responsible for planning and executing utility infrastructure projects to support data centers. They collaborate with stakeholders, manage budgets, and ensur...

Manager overseeing Utilization Management for Medicare Advantage, responsible for coordinating various functions and leading a team of coordinators and nurses...

Director Utilization Management - Acute Remote

Manager Utilization Management is responsible for developing, coordinating, and managing the administrative and operational activities associated with the utilization management of medical services pr...

The Engineering/Manager, Utilities role at Pfizer involves managing projects and overseeing maintenance and repair of utilities in plants. The role requires technical expertise, project management ski...

The Global Category Manager - Utilities role focuses on managing the procurement and supplier relationships for utilities such as water, gas, and energy. The role requires expertise in complex contrac...

The Manager of Behavioral Health Services - Utilization Management is responsible for managing the utilization management team and ensuring appropriate utilization of behavioral health services. They...

The Case Management Utilization RN-PD is responsible for coordinating and screening admissions, developing discharge plans, and ensuring appropriate resource use. They must have at least 2 years of co...

Utilities Management Consulting Senior Manager / Director role at Accenture Strategy & Consulting, Utility Industry, Energy and Customer Service Practice...

The Product Portfolio Operations Manager - Utilities is responsible for implementing connectivity strategies across the product space and enhancing coordination in the product line. They will work wit...

The Plant Facilities and Utilities Manager is responsible for overseeing all plant utility, facility, and life safety systems. They lead a team in ensuring continuous operational coverage and maintena...

Utilizes judgement and critical thinking in determining what cases to refer for second level review to external physician consultants and internal UVA UR MD’s...

The Utilities Manager role is a technical position responsible for the design, configuration, implementation, testing, and maintenance of process automation and future MES systems in a manufacturing e...

The Case Management Utilization RN PD Day position involves coordinating and screening admissions, developing discharge plans, and ensuring appropriate resource use. The role requires collaboration wi...

Build effective relationships to ensure alignment with other leaders and company goals.

Management Consultant - Utilities with experience in Transmission & Distribution (T&D) business process. Responsible for understanding client challenges, bringing innovative solutions, and fostering t...

Utilization Review, Case Management - Full Time. This position coordinates utilization review service for defined patient populations across the acute care continuum, including discharge planning, uti...