utilization management support

We’re looking for a detail-oriented and motivated Remote Utilization Management Support Clerk to join New Paradigm Staffing, a growing healthcare staffing agency focused on remote administrative roles that support clinical decision-making. This role is ideal for someone who enjoys organization, documentation, and supporting care review processes. What...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh...

This job is with Kraft Heinz, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. Hourly manufacturing positionJob Description Specific duties include: Successful completion of all required periodic plant and job-specific training.Support all Plant...

Company DescriptionFounded in 1989, SOSi is among the largest private, founder-owned technology and services integrators in the defense and government services industry. We deliver tailored solutions, tested leadership, and trusted results to enable national security missions worldwide. Job DescriptionOverview Contingent Upon Contract Award SOS...

About Us Harris Health is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management...

Description Utilization Manager As our Utilization Manager, you will coordinate Utilization Management functions for the agency. Trains staff on proper documentation, including assessments, treatment planning, progress notes, transition/discharge plans Provides feedback to staff regarding changes needed in order to meet service guidelines, fidelity review,...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in the state of Arizona. Position Purpose: Supervises Prior...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in the state of Arizona. Position Purpose: Supervises Prior...

Job DescriptionOverviewWe are seeking a Project Manager, Utilities to join our team in Rochester NY or Binghamton, NY.Your roleEffective leadership in a matrix organization.Initiation, Planning, Executing, and Closing Projects - defining the project WBS, Cost Baseline and OBS structure, initiating the project, building its comprehensive work plan,...

About Duke Regional Hospital Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight‑loss surgery, women's services, and heart and vascular...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Regional Hospital Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With...

Company OverviewAcentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in the state of Arizona. Position Purpose: Supervises Prior...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in the state of Arizona. Position Purpose: Supervises Prior...

The Utilities and Maintenance Manager provides strategic leadership for all facilities, infrastructure, utilities, and maintenance operations across a 500-acre destination campus with more than 125 existing and planned buildings, including lodging, wellness, dining, event, horticultural, and recreational facilities.This role oversees preventative and...

Are you a Board Certified Medical Doctor (Family Medicine or Internal Medicine) looking for a full-time, remote job in a nonclinical setting?Then let me introduce you to ExamWorks!ExamWorks is seeking a physician board-certified in either Family Medicine, Internal Medicine to join the team full-time as a Utilization Management Physician Reviewer.This...

PA RN License RequiredWe are seeking an experienced Care Management Coordinator to join our Infusion Therapy team. This role is responsible for performing utilization management reviews to determine the medical necessity of requested healthcare services, ensuring members receive appropriate, evidence-based care while maintaining compliance with regulatory...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in the state of Arizona. Position Purpose: Supervises Prior...

Mentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions for the FDA-regulated industry. As a world leader in life science engineering and technical solutions, MTG has the knowledge and experience to ensure compliance with pharmaceutical, biotechnology, and medical device safety and efficacy guidelines. With offices...