Jobs

Utilization Management CNA

Cottinghambutlerinsuranceservicesinc

Dubuque, Iowa, United States (Dubuque, IA) Remote permanent

CommunicationCustomer ServiceDetail OrientedMedical TerminologyEMR SystemsHIPAA

Utilization Management Assistant Location: Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and thrive in a fast-paced, professional environment? We are...

January 28, 2026 View Details

Director Case Management / Utilization Management / CDI Location: Buckey

Knowhirematch

Buckeye Lake, Ohio, United States permanent

Case ManagementUtilization ManagementCDIPatient CareQuality ImprovementData AnalysisFinancial ManagementRegulatory ComplianceLeadershipCollaboration

TITLE: Director Case Management / Utilization Management / CDI Location: Buckeye Lake, OH Now is your chance to join a Forbes magazine top 100 hospital where career growth and opportunity await you. ...

November 21, 2025 View Details

Physician Reviewer - Utilization Management

Oscar

Remote (Remote (New York)) Remote permanent

Clinical ReviewEvidence-Based GuidelinesDocumentationCommunicationTurn-Around TimesPeer CollaborationComplianceLicensureUtilization ManagementHealthcare Industry

Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless ...

December 8, 2025 View Details

Utilization Management Nurse - Emergency department

Luminishealth

Lanham, MD permanent

Patient CareEMR SystemsHIPAAPhlebotomyVital SignsMedical TerminologyCPRBLS Certification

Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delay...

January 13, 2026 View Details

Utilization Management LVN

Welbehealth

Los Angeles, CA, USA (Los Angeles Area, CA) permanent

Chart AuditingAuthorization ReviewClinical Inboxes ManagementInconsistency IdentificationPrior authorizations

Utilization Management LVN At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while functioning a...

December 10, 2025 View Details

Associate Medical Director, Utilization Management Review

Coherehealth

United States Remote permanent

Internal MedicineClinical decision makingClinical guidelinesEvidence-Based InformationUtilization reviewMedical AppropriateRegulatory StructureTechnological ProficiencyManaged careProvider Connectivity

Opportunity Overview: We are looking for physicians who have expertise in Internal Medicine including medical and surgical clinical areas to deliver on Cohere’s program by determining the medical app...