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Behavioral Health Medical Director- Child Psychiatrist

Seattle, WA

Elevance Health Posted: 03/21/26

…with providers and external physicians. + Applies clinical knowledge and skills to utilization

Medical Director, Medical Management

Nashville, TN

Highmark Health Posted: 02/20/26

…NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , th

Director II Medical Management

Washington, DC

Elevance Health Posted: 04/15/26

…Care concentration preferred. + 5 or more years case management and utilization management rev

Medical Management Clinician Sr

Tampa, FL

Elevance Health Posted: 04/17/26

…or equivalent. + Requires a minimum of 6 years of clinical experience and/or utilization revie

Case Manager, RN - Value Based Service Org - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Los Angeles, CA

University of Southern California Posted: 04/12/26

…+ Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization revi

Appeals Medical Director - Oncology

Columbus, OH

Elevance Health Posted: 04/09/26

…must be located in a state or territory of the United States when conducting utilization revie

Registered Nurse Case Manager

Columbia, SC

US Tech Solutions Posted: 04/09/26

…mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization

Oncology Medical Director | Medical Oncologist or Hematologist/Oncologist

Klamath Falls, OR

Provider Solutions & Development Posted: 04/09/26

…in the development and implementation of effective quality assurance and utilization review p

Onsite Clinical Navigator (Hybrid)

Baltimore, MD

CareFirst Posted: 03/31/26

…experience working in Care Management, Home Health, Discharge Coordination and/or Utilization

Clinical Supervisor RN

Lubbock, TX

Children's Home Healthcare Posted: 03/28/26

…authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization

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