Utilization Manager Jobs

Reimagine care delivery by independently managing complex utilization reviews, evaluating compliance, and enhancing clinical efficiency to ensure quality and cost-effective services across multiple li...

Empower your career by managing complex utilization reviews and ensuring effective clinical oversight. Collaborate on process improvement initiatives while providing valuable support to peers in a dyn...

Execute essential analyses and optimize workflows in Epic systems to enhance operational efficiency. Collaborate across teams, streamline processes, and ensure compliance while supporting the Utilizat...

Drive operational excellence by leading teams, ensuring compliance, and fostering a customer-centric environment while managing resources efficiently to meet project goals and client expectations...

Develop and lead Utilization Management strategies to optimize operations, ensuring access to services while managing costs. Collaborate across departments to integrate functions, enhance outcomes, an...

Empower patient care by coordinating case management, insurance authorizations, and discharge planning, ensuring optimal health outcomes and financial efficiency. Collaborate with diverse teams to enh...

Join a team that's dedicated to enhancing patient care through effective unit management, overseeing daily operations, ensuring regulatory compliance, and fostering staff development in a supportive l...

Analyze medical necessity and patient status to ensure compliance with regulations, enhance care coordination, and support denial management while collaborating with healthcare teams to optimize patie...

Empower our team as a leader in utilization management, overseeing compliance, guiding operational meetings, and enhancing treatment resource allocation, ensuring optimal patient care and collaboratio...

Drive the success of clinical operations by effectively managing staff, ensuring quality patient care, and facilitating smooth patient flow in a dynamic med/surg environment. Lead and inspire teams to...

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...

Pioneer in Mental Health Care! Leverage your expertise to ensure high-quality, cost-effective treatment as you lead the Utilization Review team in a therapeutic setting focused on patient-centered str...

Join a team that empowers members through effective utilization review. Monitor care appropriateness, evaluate benefits, and facilitate communication to ensure timely access to services while supporti...

Champion strategic sourcing initiatives and manage supplier contracts to deliver superior cost, quality, and service. Collaborate with stakeholders to execute RFPs, negotiate agreements, and maintain...

Help us drive energy efficiency across installations by managing projects, analyzing data, and promoting conservation efforts. Collaborate with teams to meet Army’s energy goals while ensuring effecti...

Join a team that's dedicated to supporting Senior Executive-led organizations by coordinating administrative processes and managing complex tasking requests within the intelligence community and the U...

Make your mark at the intersection of clinical excellence and financial efficiency. Engage in comprehensive chart reviews, coordinate care to minimize delays, and implement process improvements to enh...

Oversee comprehensive management of utility systems, ensuring compliance with safety and regulatory standards while leading a diverse team, developing budgets, and enhancing operational efficiencies a...

Elevate operational standards by leading the Claims Services team in driving excellence, enhancing processes, and managing daily operations. Utilize your health insurance expertise to support staff de...

Join us to oversee operations and elevate service quality in a dynamic team setting, ensuring effective human resources and project management within your department while fostering collaboration and...

Shape the future of healthcare by leading our nationwide Post-Acute Care Utilization Management team, ensuring compliance and optimal member outcomes through strategic oversight and team development...

Join a team that's shaping the future of customer relationships by leading and developing a high-impact Account Management team dedicated to driving retention and expanding our client base in a fast-p...

Engage in the management of utilization processes, overseeing a team of Nurse Case Managers and Referral Coordinators. Ensure compliance, optimize workflows, and improve patient care through data-driv...

Transform patient care by coordinating clinical services and optimizing reimbursement, ensuring compliance with regulatory standards while fostering effective communication within the multidisciplinar...

Lead the charge in managing complex medical cases to enhance patient outcomes while ensuring cost-effective care delivery across outpatient and inpatient services, all under the guidance of clinical l...