Top 44535 Utilization Manager Jobs

Clinical Operations Manager
PWP Health —Illinois
- $110,500 - $120,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Psychology
- Health insurance
- Dental insurance
Quick Apply
Utilization Management Physician Reviewer (Weekends)
Toney HealthCare Consulting, LLC —Remote
- $175 - $200 an hour
- Part-time
- Remote
- Medicine
- 3 years
- Senior level
- Health insurance
Quick Apply
4d
Utilization Review Supervisor - FT - Day - Utilization Resource Management Pennington NJ
Capital Health —Pennington, NJ
- $86,964.80 - $113,672.00 a year
- 8 hour shift
- Nursing
- RN License
- Computer literacy
- AD&D insurance
- Disability insurance
Senior Manager, Utilization Management
1199SEIU Family of Funds —New York, NY
- $125,400 - $156,700 a year
- Full-time
- Nursing
- 6 years
- RN License
Manager, Integrated Case Management - Sarasota Campus
Sarasota Memorial Health Care System —Sarasota, FL
- $49.40 - $74.10 an hour
- Full-time
- Background check
- Master of Social Work
- Nursing
- Free parking
- Disability insurance
Quick Apply
Program Manager EHR Trainer
SCA Health —Remote
- $112,000 - $125,000 a year
- Full-time
- 3 years
- Continuous improvement
- Mentoring
- Disability insurance
- Health insurance
11d
Denials & Appeals Administrator (RN)
Boston Medical Center —Remote
- $43.03 - $62.50 an hour
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
Sr. Manager of Member Engagement
Private Health Management —Remote
- $120,000 - $180,000 a year
- US work authorization
- Senior level
- Leadership
- Health insurance
- Dental insurance
Quick Apply
RN Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
Utilization Management Nurse (CA)
Toney HealthCare Consulting, LLC —Remote
- $89,228.53 - $107,458.02 a year
- 8 hour shift
- Remote
- Nursing
- RN License
- Mid-level
Quick Apply
Care Coordination RN
Clinical Management Consultants —Bronx, NY
- $126,310 - $162,640 a year
- Full-time
- Acute care
- Surgery
- Inpatient
Nurse Director Utilization Review and Case Management
Clinical Management Consultants —Berkeley, CA
- $152,580 - $175,960 a year
- Full-time
- Acute care
- Hospital
- Acute care experience
- Health insurance
- Dental insurance
Case Manager
SSM Health Rehabilitation Hospital —St. Louis, MO
- $77,000 - $105,000 a year
- 8 hour shift
- RN License
- Hospital
- Inpatient
- Dental insurance
- Paid time off
Quick Apply
14d
Utilization Management Clinician I
Community Health Plan of Washington —Seattle, WA
- $35.92 - $55.67 an hour
- Full-time
- Mid-level
- Analysis skills
- Critical & Intensive Care
- Paid jury duty
- Health savings account
Quick Apply
Care Manager, Concurrent Review (Remote)
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Nursing
- Microsoft Outlook
- RN License
Mgr Denials Management
Brown University Health —Providence, RI
- $97,718.40 - $195,436.80 a year
- 8 hour shift
- Remote
- RN License
- 5 years
- Writing skills
Manager, Optimization
Oscar Health —Atlanta, GA
- $105,818.40 - $138,886.65 a year
- Overtime
- Remote
- Mid-level
- 3 years
- Master's degree
- Paid parental leave
- Paid holidays
Quick Apply
11d
Manager, Utilization Review
Health Business Solutions LLC —Remote
- Nursing
- RN License
- Mid-level
7d
CHS Utilization and Appeals Manager
Catholic Health —Melville, NY
- $110,000 - $150,000 a year
- Nursing
- RN License
- Word processing
- Health insurance
- Tuition reimbursement
Denial & Appeals Coordinator, Remote
Baptist Health South Florida —Florida
- $87,755.20 - $116,714.42 a year
- Remote
- Nursing
- RN License
- Research
- Wellness program
- Health insurance

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Clinical Operations Manager

PWP Health
Illinois

Quick Apply

Job Details

Full-time
$110,500 - $120,000 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

Electronic health records (EHR) management
Patient management software

Full Job Description

About PWP Health

PWP Health is an innovative healthcare organization transforming lives through comprehensive behavioral health services. Our success is rooted in our core values, which drive our mission to promote community visibility, engagement, and growth in impact.

We’re building a team of passionate professionals who want to do meaningful work while driving excellence, integrity, and innovation in every area of behavioral healthcare.

The Opportunity

The Clinical Operations Manager oversees and optimizes the organization's clinical operations services. This includes reviewing treatment plans, collaborating with the Utilization Management team for timely reauthorizations, and ensuring the highest quality of care.

What You'll do

Lead and manage a multidisciplinary clinical team of Caseworkers and Outpatient Therapists.
Develop and implement operational policies, procedures, and workflows to improve care and service delivery.
Conduct monthly clinical supervision for staff members who require it for licensure.
Contribute to the development and implementation of new and innovative clinical services.
Partner to develop, implement, and continuously improve orientation and training programs for clinical staff.

Who You Are

Must be a Licensed Practitioner of the Healing Arts (LPHA).
Bachelor’s in Social Work, Psychology, Counseling, or a related behavioral health field.
5+ years of clinical experience with 2+ years in a supervisory or management role
Knowledge of EHR Systems.
Experience in behavioral health or multi-disciplinary care settings, preferred.

Why Join PWP Health?

At PWP Health, compliance isn’t just about checking boxes - it’s about protecting the people we serve and empowering our teams to do their best work. As part of that mission, we offer a full suite of comprehensive benefits that are meant to support our teams. This includes

Competitive compensation
Medical, Dental and Vision coverage
401k with company match
Generous Paid Time Off program

The anticipated base salary range for this role is ($110,500-$120,000), with potential bonus eligibility. Salary offers are made based on the candidate’s qualifications, experience, skills, and education as they directly relate to the requirements of the position, budget for the position and cost of labor in the market in which the candidate will be hired.

If you’re ready to shape the ethical foundation of a growing, values-driven healthcare organization, we’d love to meet you.

Apply today and help us build a future where integrity and impact go hand in hand.

Quick Apply

Refine Your Search

Utilization Manager jobs

Clinical Operations Manager

Utilization Management Physician Reviewer (Weekends)

Utilization Review Supervisor - FT - Day - Utilization Resource Management Pennington NJ

Senior Manager, Utilization Management

Manager, Integrated Case Management - Sarasota Campus

Program Manager EHR Trainer

Denials & Appeals Administrator (RN)

Sr. Manager of Member Engagement

RN Case Manager

Utilization Management Nurse (CA)

Care Coordination RN

Nurse Director Utilization Review and Case Management

Case Manager

Utilization Management Clinician I

Care Manager, Concurrent Review (Remote)

Mgr Denials Management

Manager, Optimization

Manager, Utilization Review

CHS Utilization and Appeals Manager

Denial & Appeals Coordinator, Remote

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