• Manager , Utilization

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role The Manager , Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical support ... Primary Responsibilities + Coordinate day to day operations of the Utilization Management team. + Serve as the primary contact for day-to-day operational… more
    Brighton Health Plan Solutions, LLC (10/11/25)
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  • Manager of Utilization

    Elevance Health (Washington, DC)
    …office 4 days each week. The office is located at 609 H. Street NE.** The ** Manager of Utilization Management ** **ll** is responsible for managing a team of ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary… more
    Elevance Health (10/16/25)
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  • Manager II Utilization

    Elevance Health (Waukesha, WI)
    **Title:** Manager II Utilization Management **Hybrid 2:** This role requires associates to be in-office **3** days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The ** Manager II Utilization Management ** is responsible for overseeing workflow and performance… more
    Elevance Health (10/14/25)
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  • Utilization Management

    State of Indiana (Indianapolis, IN)
    Utilization Management Manager Date Posted: Nov 1, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... services, health care and their communities. Role Overview: The role of Utilization Management Manager oversees the integration of utilization review,… more
    State of Indiana (11/01/25)
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  • Manager - Utilization Review…

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding… more
    Beth Israel Lahey Health (10/30/25)
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  • Manager Utilization

    Intermountain Health (Las Vegas, NV)
    …including social work and complex care planning, transitions of care, and utilization management . The position ensures compliance with state, national, and ... 5:30 pm Holiday and weekend coverage when needed. The Manager of Care Management I leads and... Management I leads and collaborates with care management operations across utilization review, acute and… more
    Intermountain Health (11/08/25)
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  • Utilization Manager Registered Nurse…

    Commonwealth Care Alliance (Boston, MA)
    013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
    Commonwealth Care Alliance (10/02/25)
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  • Registered Nurse Case Manager

    Prime Healthcare (Weslaco, TX)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/233537/registered-nurse-case- manager utilization - ... CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO WORK WEEKENDS. WE OFFER: + Competitive PRN...visit www.KnappMed.org Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
    Prime Healthcare (11/12/25)
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  • Case Manager (RN ) - Utilization

    Prime Healthcare (Montclair, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230024/case- manager -%28rn-%29 utilization - ... preferred, and community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the… more
    Prime Healthcare (10/24/25)
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  • Case Manager (RN) - Utilization

    Prime Healthcare (Montclair, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229421/case- manager -%28rn%29 utilization - ... community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...admission and across the continuum of the health care management . Works on behalf of the advocate, promoting cost… more
    Prime Healthcare (10/24/25)
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