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Showing 100-110 of 1740

Director, Inpatient UM

Canton, MA

Point32Health Posted: 06/12/26

…competence in directing operational compliance with CMS regulatory and NCQA, URAC ( Utilization

RN Care Coordinator

Royal Oak, MI

Corewell Health Posted: 06/10/26

…patients. + Identifies patients that need care management services (ie utilization review ; ca

RN Care Coordinator

Royal Oak, MI

Corewell Health Posted: 05/30/26

…patients. 1. Identifies patients that need care management services (ie utilization review ; c

SRS - Case Manager - RN - Per Diem - Variable Shift

San Diego, CA

Sharp HealthCare Posted: 05/23/26

…position requires the ability to combine clinical/quality considerations with regulatory/financia

Medical Director, Utilization Management

Pittsburgh, PA

UPMC Posted: 06/04/26

…policies of the Health Plan. + Actively participates in the daily utilization management and qu

Case Manager (RN) - Inpatient - 1.0 FTE, 08-HR, Day Shift

Palo Alto, CA

Stanford Health Care Posted: 06/10/26

…responsibilities include coordinating all facets of a patient's admission/discharge; performing

Field Medical Director Internal Medicine/ Emergency Medicine (Cardiology)

Topeka, KS

Evolent Posted: 03/21/26

…utilization , in alignment with SBU policies and procedures, as well as Utilization Review Ac

Senior Medical Director - YouthCare

Springfield, IL

Centene Corporation Posted: 06/13/26

…management, cost containment, and medical quality improvement activities. + Perform medical revi

Medical Director, Commercial

Rochester, NY

Excellus BlueCross BlueShield Posted: 05/30/26

…recommendations and/or decisions on Utilization or Case Management activities. Utilization r

Medical Director (Based in CA)

Riverside, CA

Molina Healthcare Posted: 06/03/26

…in preparation for national committee for quality assurance (NCQA) and utilization review acc

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