utilization management jobs in Philadelphia

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...

The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and professional development by conducting regular 1:1s, managing performance reviews, and driving compliance with organizational, state, and federal requirements. The...

Utilization Management Coordinator - Philadelphia Malvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a full time, benefit eligible position and reports to our brand new location at 3905 W. Ford Road Philadelphia, PA 19131. Position Summary: To conduct continued stay...

Infrastructure Geospatial Technology Specialist We invite you to bring your experience and passion for the infrastructure industry coupled with an understanding of applying geospatial technology to become an integral part of Esri's Infrastructure

Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerPhiladelphia, Pennsylvania, United StatesPosition ID: P-753603Position status: OpenAssignment type: travelShift: DaysLength (weeks): 13Openings: 2Start date: 2026-10-19T00:00:00.000Z$2,488.00/week (estimated advertised weekly pay)DescriptionAmerican Traveler is hiring a Case...

Department: Right of Way ProfessionalLocation: Remote - PACompensation: $64,374 - $101,702 / yearDescriptionLocation: Pennsylvania (candidate will have the flexibility to work out of their home office but must reside in Pennsylvania)Schedule: Full-time; ExemptTravel: Candidate can expect to travel locally and throughout Pennsylvania about 50% of the timeWhy...

Job DescriptionJob DescriptionAbout Burns:Burns Engineering provides professional engineering design and project management services for transportation, facilities, and infrastructure projects. We help our clients attain their strategic goals and initiatives through successful large-scale infrastructure projects. Burns' full-service capabilities include...

Position Summary Our Deloitte Strategy & Transactions team helps guide clients through their most critical moments and transformational initiatives. From strategy to execution, this team delivers integrated, end-to-end support and advisory services covering valuation modeling, cost optimization, restructuring, business design and...

Job DescriptionApply promptly! A high volume of applicants is expected for the role as detailed below, do not wait to send your CV.The KPMG Advisory practice is at the forefront of transformation, offering excellent opportunities for individuals to advance their careers and expertise with KPMG. Looking ahead, we anticipate continued evolution and success...

Power Project ManagerWelcome to Verdantas, where innovation meets sustainability, and your career finds purpose! At Verdantas, we're redefining environmental consulting and sustainable engineering through our use of cutting-edge modeling and digital technology and our genuine commitment to people. Our work spans high-growth sectors like water resources,...

Position SummaryThe Warehouse Manager is responsible for leading all warehouse and plant logistics operations supporting manufacturing activities. This position oversees inbound receiving, raw material storage, production material supply, inventory control, finished goods warehousing, outbound shipping, workforce management, warehouse systems, safety, and...

Company DescriptionA best-in-class city that attracts best-in-class talent, Philadelphia is an incredible place to build a career. From our thriving arts scene and rich history to our culture of passion and grit, there are countless reasons to love living and working here. With a workforce of over 30,000 people, and more than 1,000 different job categories,...

About the JobOur values start with our people, join a team that values you!We are the nation’s largest off-price retailer with over 2,000 stores, and a strong track record of success and growth. Our focus has always been bringing our customers a constant stream of high-quality brands and on-trend merchandise at extraordinary savings. All while providing a...

Leasing ManagerLocation: Philadelphia, PAJoin a Team Where Your Leadership Drives SuccessAre you a motivated leasing professional with a passion for leadership, resident satisfaction, and achieving occupancy goals? We are seeking an experienced Leasing Manager to lead leasing operations for a luxury multifamily community in Philadelphia, PA. This is an...

Regional Business Manager – Mid-Atlantic Who We Are:Aucta Pharmaceuticals is an emerging product development pharmaceutical company. Aucta is implementing a branded/generic hybrid model, generating both near-term product revenue and mid/long-term investment return. We aim to become a significant specialty pharmaceutical company in the U.S. marketplace...

Utility Construction ManagerAllied Resources is currently looking for Construction Managers with an established Energy company located in the Greater DC, Philadelphia, and Chicago Areas! We are looking for candidates that have experience providing construction oversight for high-voltage infrastructure projects (Transmission & Distribution and/or...

Project ManagerProject Manager If you are interested in providing high-end engineering consulting design, construction, maintenance, and project management services, this may be the place for you. Asplundh Engineering Services provides superior, full service professional engineering, engineering support, equipment procurement, and automation controls...

Company:US0075 Sysco Philadelphia, LLCSales Territory:US-NJ-Cape May, US-NJ-CumberlandZip Code:19148Travel Percentage: Up to 25%COMPENSATION INFORMATION:The pay range provided is not indicative of Sysco’s actual pay range but is merely algorithmic and provided for generalized comparison. Factors that may be used to determine rate of pay include specific...

OverviewArcGIS Solutions are industry-specific configurations of ArcGIS designed to improve operations and enhance services. Our team’s mission is to develop solutions that help agencies maximize their investment in location-based data and technology. As the Product Engineer II – Utilities, you will collaborate with customers, industry teams, and other...

L3Harris is dedicated to recruiting and developing high-performing talent who are passionate about what they do. Our employees are unified in a shared dedication to our customers’ mission and quest for professional growth. L3Harris provides an inclusive, engaging environment designed to empower employees and promote work-life success. Fundamental to our...