Utilization jobs in Berlin

Responsibilities Granite Hills Hospital offers high-quality, patient centered behavioral health care for the greater Milwaukee community. Our 120-bed facility will feature evidence-based treatment for adolescents, adults, and older adults. We are seeking a Utilization Management Assistant for the Ut

A company is looking for a Utilization Review Specialist. Key Responsibilities Complete preadmission and concurrent reviews to obtain treatment authorizations and ensure ongoing communication with payors Coordinate peer reviews and manage the provision of Letters of Medical Necessity as needed Suppo

A company is looking for a Utilization Review & Quality Assurance Specialist. Key Responsibilities Evaluate clinical information and write/review various reports, ensuring compliance with standards Perform quality assurance reviews of peer reports and provide feedback to ensure clarity and professio

Guidehealth

A healthcare technology company is seeking a Clinical Care Manager based in Milwaukee. This role emphasizes high-quality patient-centered care through detailed Utilization Review. Responsibilities include managing healthcare service evaluations, collaborating with medical professionals, and ensuring

SALARY RANGE $30.32 - $42.11 WORK ASSIGNMENT DETAILS Waukesha County's Department of Health & Human Services is recruiting for a talented LTE Senior Mental Health Counselor. The Utilization Review and Intake Specialist is one of the first points of contact for patients at the Waukesha County Mental

Blue Cross and Blue Shield of Vermont is looking for a Medical Director, Utilization Management to lead our UM team. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touc

A leading healthcare provider in West Allis, Wisconsin, seeks a PRN Utilization Review Coordinator. The role involves conducting admission and continued stay reviews and liaising between clinical and external teams. Candidates should possess a Bachelor's degree in social work, psychology, or counsel

A global real estate services firm is seeking an Occupancy Planner to collaborate with account leadership and clients. This role involves managing occupancy planning services, building strong client relationships, and ensuring project efficiency. The ideal candidate should possess a Bachelor’s degre

A healthcare provider in Wisconsin is seeking an experienced Registered Nurse to support medical claims and appeals review, ensuring compliance with regulations and guidelines. Candidates must have at least 2 years of clinical nursing experience, including experience in areas like utilization review

THE OPPORTUNITY Fathom Manufacturing is hiring a Commercial Site Leader to own growth, utilization, and commercial performance for our CNC machining operation in Hartland, Wisconsin—a cornerstone facility with deep regional roots and a critical role in Fathom’s national manufacturing network. This r

Universal Health Services

Responsibilities Granite Hills Hospital offers high-quality, patient centered behavioral health care for the greater Milwaukee community. Our 120-bed facility will feature evidence-based treatment for adolescents, adults, and older adults. We are looking for looking for a Full Time Utilization Revie

Job Description We're hiring a Manager, Clinical Teams for the Behavioral Health Utilization Management Team! In this critical role, you will collaborate and engage with multiple internal stakeholders and external customers (i.e. providers, vendors, employer groups) to implement population health ma

Job Description We're hiring a Manager, Clinical Teams for the Behavioral Health Utilization Management Team! In this critical role, you will collaborate and engage with multiple internal stakeholders and external customers (i.e. providers, vendors, employer groups) to implement population health ma

SALARY RANGE $30.32 - $42.11 WORK ASSIGNMENT DETAILS Waukesha County's Department of Health & Human Services is recruiting for a talented LTE Senior Mental Health Counselor. The Utilization Review and Intake Specialist is one of the first points of contact for patients at the Waukesha County Mental

Major Responsibilities: Manage incoming fax, phone, and portal communications or any other requests from internal and external customers pertaining to clinical requests, approvals, authorizations, and denials; determine action required, and document all activities performed accurately and clearly in

Guidehealth is a data‑powered, performance‑driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predict

Froedtert Health

Discover. Achieve. Succeed. #BeHere Location: US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility. This job is REMOTE. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift Details : 0800-1630 Holidays : No Weekends : No Job Summary: The Utilization Management Specialist provides clerical support

Guidehealth

Job Description We are seeking a Clinical Care Manager who is passionate about advancing high‑quality, compliant, patient‑centered care through precise and timely Utilization Review. In this role, you will apply clinical expertise and regulatory knowledge to evaluate healthcare services, ensure medi

A local government health department is seeking an LTE Senior Mental Health Counselor in Waukesha, WI. This in-office role involves patient intake, collaborating with stakeholders for care, and managing utilization reviews. Candidates should possess a bachelor's degree in a relevant field or a regis

Location and Work Schedule Location: Milwaukee, WI – FROEDTERT HOSPITAL facility (remote). FTE: 1.0. Standard Hours: 40.00. Shift: 0800-1630, no holidays, no weekends. Job Summary The Utilization Management Specialist provides clerical support to the Utilization Review and Preauthorization teams to