SH
Integrated Case Manager
Sentara Health
Roanoke, Virginia, US (Hybrid)
$89.5–136.5K / year
City/State Roanoke, VA Work Shift First (Days) Overview: Sentara Health is looking to hire an Integrated Case Manager, RN.
4 days ago
41 Utilization Management jobs in Virginia, United States
Showing 1–20 of 41 jobs
CH
Manager, Utilization Review Nursing
Central Health
United States (Remote)
Overview The Manager, Utilization Review Nursing is responsible for the operational oversight and leadership of Sendero Health Plans’ Utilization…
1 mo. ago
DH
Clinical Guide Part A: (UM) Utilization Management Nurse
Devoted Health
United States (Remote)
$82.7–96.5K / year
Job Description A bit about this role: The Clinical Guide Part A will be part of the Utilization Management team, responsible for inpatient,…
2 mo. ago
YI
G
United States (Remote)
$70–75K / year
The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state…
2 mo. ago
H
United States (Remote)
$71.1–97.8K / year
Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the…
1 mo. ago
CC
Supervisor, Utilization Management
Centene Corporation
United States (Remote)
$75.3–135.4K / year
Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members.
4 wk. ago
S
United States (Remote)
$35.00 – $40.00 / hour
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw…
1 yr. ago
EH
Utilization Review RN
Ensemble Health Partners
United States (Remote)
$63.1–94.7K / year
Thank you for considering a career at Ensemble!
1 mo. ago
CH
Lead RN, Utilization Management
Clover Health
United States (Remote)
$100–130K / year
At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors.
6 days ago
EH
Utilization Review RN - Part Time
Ensemble Health Partners
United States (Remote)
$63.1–94.7K / year
Thank you for considering a career at Ensemble!
2 wk. ago
PH
Lead Utilization Review - RN
Personify Health
United States (Remote)
$38.00 – $44.00 / hour
Overview Who We Are Because health is personal.
1 mo. ago
EH
RN, Senior Utilization Review Quality
Ensemble Health Partners
United States (Remote)
$47.00 – $63.00 / hour
Thank you for considering a career at Ensemble!
6 days ago
C
United States (Remote)
$135.6–237.4K / year
Job Summary: The Director, Utilization Management Operations assists the UM Department with all open projects and progress towards company and…
1 wk. ago
AH
Care Manager I - LPN (Maryland)
Astrana Health, Inc.
United States (Remote)
$31.00 – $40.00 / hour
Job Title: Care Manager Department: Health Services What You’ll Do Develop and initiate client-centred, comprehensive Individual Care Plans…
2 mo. ago
W(
RN Case Manager
WebTPA (GuideWell)
United States (Remote)
Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit…
4 wk. ago
HH
Senior Case Manager RN - Transplant RN (Remote)
Highmark Health
United States (Remote)
$79.3–127.1K / year
Company : Highmark Inc.
6 days ago
H
Temporary UM RN
HealthEdge
United States (Remote)
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…
5 days ago
CC
Clinical Review Nurse - Prior Authorization (Hospice)
Centene Corporation
United States (Remote)
Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance…
2 wk. ago