Utilization Manager Jobs

Drive optimal patient care through effective utilization management, collaborating with clinical teams to assess medical necessity, resolve denials, and support discharge planning while ensuring compl...

Oversee all phases of construction projects, ensuring alignment with client and operational goals. Serve as the primary liaison, managing stakeholder relationships while guiding teams to deliver proje...

Take ownership of the Utilization Management Department, ensuring effective patient treatment plans and compliance with regulatory requirements while leading a team of clinical staff to deliver high-q...

Champion exceptional healthcare by leading the Utilization Review program, ensuring effective treatment plans for patients. Oversee case management, collaborate with diverse stakeholders, and manage s...

Advance patient care by leading utilization review processes, ensuring high-quality, cost-effective treatment for individuals facing mental health challenges. Collaborate with cross-functional teams t...

Join a team that oversees document control operations, ensuring accurate and accessible project information. Lead and mentor personnel while establishing standards for operational consistency in engin...

Lead the health plan utilization management department to enhance care quality and ensure compliance with regulations. Oversee daily operations, staff supervision, and process improvements to optimize...

Transform health plan utilization management by leading departmental operations, ensuring compliance, and enhancing care quality across diverse populations while effectively supervising a dedicated te...

Discover innovative care solutions by leading inpatient utilization management reviews, ensuring quality, and facilitating effective transitions for optimal patient outcomes in a collaborative healthc...

Lead the charge in managing a team of prior authorization technicians while enhancing workflow and training, ensuring compliance and quality in a dynamic healthcare environment...

Shape healthcare delivery by leading a team of prior authorization technicians to enhance workflows and ensure compliance while promoting extraordinary customer care in a fast-paced environment...

Oversee a team of prior authorization technicians while enhancing workflows and training initiatives. Ensure compliance, address escalated issues, and maintain exceptional service in a dynamic environ...

Unlock potential by leading utilization review initiatives in a dynamic behavioral healthcare environment, ensuring optimal patient care management and insurance collaboration to enhance treatment out...

Unlock the potential of healthcare by leading utilization management efforts, enhancing resource coordination, and driving performance improvement across clinical teams to achieve optimal patient care...

Join a team that's redefining healthcare solutions by supporting member needs through expert utilization management. Leverage your clinical skills to ensure timely authorization and effective resource...

Drive utilization management activities through clinical expertise, ensuring proper authorization and medical necessity assessments for planned services in a dynamic healthcare environment, while coll...

Advance patient care by collaborating with multidisciplinary teams to coordinate healthcare services. Utilize your nursing or behavioral health expertise to facilitate quality outcomes and resource ma...

Elevate member care by collaborating with healthcare professionals to deliver efficient, quality healthcare services. Use your expertise in case management to enhance member outcomes and navigate comp...

Join a team that's dedicated to enhancing member healthcare outcomes by coordinating resources and collaborating with multidisciplinary professionals to ensure effective and efficient service delivery...

Shape the future of healthcare delivery by coordinating services, optimizing resources, and collaborating with multidisciplinary teams to ensure quality member care and cost-effective utilization mana...

Lead the charge in coordinating healthcare delivery by collaborating with diverse professionals to optimize member care, assess health plan benefits, and ensure quality, cost-effective outcomes throug...

Join a dynamic healthcare team focusing on member care coordination, promoting effective utilization of services, and ensuring quality outcomes through collaboration with diverse professionals in a pa...

Shape the future of content strategy by maximizing the impact of key narratives. Collaborate across Marketing to create cohesive, discoverable content experiences that educate customers and drive long...

Take ownership of vital water and wastewater systems, ensuring regulatory compliance, effective management of contractors, and strategic planning for infrastructure reliability. Contribute to communit...

Transform utilization management by overseeing operations, ensuring compliance, analyzing data, and leading a skilled team to enhance patient care quality and efficiency. Collaborate with healthcare p...