• 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 ... care and their communities. Role Overview: The role of Utilization Management Manager oversees the...strategies, KPIs, and actions to achieve them. + Analyze operations to evaluate performance of the specific program or… more
    State of Indiana (11/01/25)
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  • 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 ... and retrospective reviews. Primary Responsibilities + Coordinate day to day operations of the Utilization Management team. + Serve as the primary contact… more
    Brighton Health Plan Solutions, LLC (10/11/25)
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  • Manager Utilization

    Intermountain Health (Las Vegas, NV)
    Manager of Care Management I leads and collaborates with care management operations across utilization review, acute and emergency department care, ... work and complex care planning, transitions of care, and utilization management . The position ensures compliance with...with compliance and legal to support care delivery. The Manager Care Management I reports to the… more
    Intermountain Health (11/08/25)
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  • Manager - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …functions. Oversees daily operations , which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...financial, and utilization goals through effective management , communication, and… more
    Minnesota Visiting Nurse Agency (09/30/25)
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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 ... an accommodation is granted as required by law. The ** Manager II Utilization Management ** is...operations in support of corporate and health plan management . + Directs and collaborates with functional managers to… more
    Elevance Health (10/14/25)
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  • Project Manager , Utilization - MWBE

    New York State Civil Service (New York, NY)
    NY HELP No Agency Empire State Development, NYS Title Project Manager , Utilization - MWBE Occupational Category Other Professional Careers Salary Grade NS ... the direct supervision of the Director of Contract Participation, the Project Manager , Utilization , will lead the planning, execution, and monitoring of… more
    New York State Civil Service (09/04/25)
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  • Supervisor, Utilization Management

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for... (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care… more
    LA Care Health Plan (10/14/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization

    Sharp HealthCare (San Diego, CA)
    …will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM. ... will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM.… more
    Sharp HealthCare (10/31/25)
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  • Utilization Management Specialist

    Cleveland Clinic (Cleveland, OH)
    …with one of the most respected healthcare organizations in the world. As a Utilization Management Specialist, you will perform UM activities, such as admission, ... role is essential in the overall organizational and functional operations , helping advance and enhance the patient experience and...a minimum of 85% on IRR quarterly. + Complete Utilization Management for assigned patients with a… more
    Cleveland Clinic (10/18/25)
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