Utilization jobs in Camden

*Job Details** Summary Works under the direction of the U.M. Manager to provide assistance with utilization review process including communicating clinical information/reviews to third party and governmental payers to ensure certification/approval of inpatient hospital services for the Medical Assis

Job Details Summary Works under the direction of the U.M. Manager to provide assistance with utilization review process including communicating clinical information/reviews to third party and governmental payers to ensure certification/approval of inpatient hospital services for the Medical Assistan

*Job Details** Job Summary Performs utilization management functions, applying medical necessity criteria to determine the appropriate patient status. Performs denial and appeal activities for inpatient hospital care. Refers cases to the Physician Advisor per departmental procedures. Works collabora

Job Details Summary Works under the direction of the U.M. Manager to provide assistance with utilization review process including communicating clinical information/reviews to third party and governmental payers to ensure certification/approval of inpatient hospital services for the Medical Assistan

Job Details Job Summary Performs utilization management functions, applying medical necessity criteria to determine the appropriate patient status. Performs denial and appeal activities for inpatient hospital care. Refers cases to the Physician Advisor per departmental procedures. Works collaborativ

Scion Staffing has been engaged to conduct a search for a Utilization Review Specialist for a rapidly growing, innovative healthcare technology organization. This is a direct hire, remote opportunity (U.S.-based, EST or CST preferred). *Position Overview** The Utilization Review Specialist will play

*Job Details** Performs utilization management functions, applying medical necessity criteria to determine the appropriate patient status. Performs denial and appeal activities for inpatient hospital care. Refers cases to the Physician Advisor per departmental procedures. Works collaboratively with

The Supervisor of Utilization Review is a fully ON SITE opportunity at Northbrook Behavioral Health Hospital in Blackwood, NJ. This is not a remote position. The supervisor is responsible for overseeing the hospital’s utilization review process to ensure high-quality patient care and compliance with

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve. We are seeking an actuarial professional

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in e

*Job Details** Works under the direction of the U.M. Manager to provide assistance with utilization review process including communicating clinical information/reviews to third party and governmental payers to ensure certification/approval of inpatient hospital services for the Medical Assistance pa

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo

The Senior Vice President, Strategic Resilience Advisory Practice Leader is responsible for leading and scaling a high‑growth management consulting practice focused on enterprise resilience, strategic risk, and long‑term value protection. This senior executive role carries full P&L responsibility an

Care Team Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Camden, Maine. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 03/31/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type: Travel

Registered Nurse (RN) | Utilization Review Location: Camden, ME Agency: Wayward Medical Staffing Pay: $1,988 to $2,288 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 10 Weeks Start Date: 3/31/2026 About the Position Wayward Medical: Because You’re More Than a Chart Number At

IDR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Camden, Maine. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 03/31/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel

Synergy Medical Staffing is seeking a travel nurse RN Long Term Care (LTC) Case Management for a travel nursing job in Camden, Maine. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 03/19/2026 Duration: 9 weeks 40 hours per week Shift: 8 hours, days Employment Ty

Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Camden, Maine. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 03/19/2026 Duration: 9 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel A director of nursing (

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Camden, Maine. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 03/19/2026 Duration: 9 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel Contract - W2 Nurse

Wellspring Nurse Source is seeking a travel nurse RN Case Management for a travel nursing job in Camden, Maine. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 03/23/2026 Duration: 10 weeks 40 hours per week Shift: 8 hours, flexible Employment Type: Travel Wellsp