Utilization Management Um - 5,225+ job offers

Description/Responsibilities The Utilization Management Coordinator is responsible for supporting clinical, management, and client activities, comprising the UM Program. The Utilization Management Coordinator must be proficient in all UM processes such as pre-authorizations, claim reviews, practitio

**Title:** On Call Position **Schedule:** Shift: 07:00 - 15:30 **Assignment Details:** Guaranteed Hours: 40 Contract Weeks: 13

Responsibilities HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital s a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan. We specialize in providing comprehensive, compassionate behavioral health services to children, adolescents

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and

UHS

Responsibilities HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital s a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan. We specialize in providing comprehensive, compassionate behavioral health services to children, adolescents

Job Details Career area Nursing Management Position Type Full Time Pay $148,366.40 - $192,899.20 Location Administration Fournace Place, Bellaire, TX 77401, United States Job ID 179437 Facebook X LinkedIn Email Harris Health System is the public healthcare safety-net provider established in 1966 to

Description JOB SUMMARY The Utilization Management Coordinator for Value-Based RCM, Inc. (VBRCM) is responsible for proactively engaging payors with the purpose of securing authorizations for patient care. MAJOR AREAS OF FOCUS Prior Authorizations Customer Service RESPONSIBILITIES Use, protect, and

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Facility: Carufel Building Location: Fargo, ND Address: 505 7th Ave N, Fargo, ND

Location Charlottesville, Virginia, United States of America UVA Medical Center Job Id R0082235 Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They collaborate with physicians and other members of the healthcare team to promo

Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They collaborate with physicians and other members of the healthcare team to promote and adhere to regulatory compliance. The UM RN conducts initial concurrent and retrospective

Full TimeNights Four 10 hour shifts-8:45pm-7:15am Job Summary: Provides administrative and clinical support to the hospital and treatment teams throughout the review of patients including, but not limited to their placement in various levels of care and receipt of necessary services. The Utilization

Who We Are NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all popul

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our cultu

Job Description We are searching for a Care Coordinator – someone utilizing a collaborative approach to assess, plan, implement, monitor and evaluate the options and services required to meet an individual's health needs. Provides comprehensive on-going case management services to patients by coordi

Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled so

About Signature Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Ca

Facility Kindred Hospitals Dallas/Ft Worth District Req ID 553803 Post Date 04/17/2026 Category Accounting and Finance Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running to

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensur

Thank you for considering Progyny! Progyny is seeking a Utilization Management Summer Intern with a Compliance and Accreditation Focus. The Utilization Management Intern will support Progyny’s UM team with a primary focus on compliance, audit readiness, and accreditation-aligned processes, while gai