Top 50333 Utilization manager Jobs

Collaborative Care Manager (LPN/RN)
Lumina Care —Remote
- $27 - $35 an hour
- Full-time
- Remote
- Nursing
- Psychiatry
- RN License
- Paid holidays
- Health insurance
Quick Apply
Care Manager, Concurrent Review (Remote)
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Nursing
- Microsoft Outlook
- RN License
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
Oncology Prior Authorization Case Manager, Non-RN - Remote
University of Miami —Miami, FL
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
CHS Utilization and Appeals Manager
Catholic Health —Melville, NY
- $110,000 - $150,000 a year
- Nursing
- RN License
- Word processing
- Health insurance
- Tuition reimbursement
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
Utilization Review Specialist
We Level Up —Pompano Beach, FL
- $50,000 - $90,000 a year
- Full-time
- Remote
- 18 years or older
- CPR Certification
- HIPAA
Quick Apply
Prior Authorization RN
RCM Health Care Services —New York, NY
- $90,000 - $108,000 a year
- Full-time
- Hybrid work
- Nursing
- Microsoft Excel
- RN License
Quick Apply
Team Medical Director
Lynn Community Health Center —Lynn, MA
- $120,000 - $250,000 a year
- Spanish
- Certified Nurse Practitioner
- BC/BE
- Health insurance
- Dental insurance
Quick Apply
PACE Medical Director, Jordan Valley Senior Care
Jordan Valley Health —Springfield, MO
- Full-time
- Medicine
- Current TB test
- Computer literacy
- Health savings account
- AD&D insurance
Quick Apply
Emergency Department Manager
TribalEM —Kansas City, MO
- $53.00 - $61.99 an hour
- Full-time
- Nursing
- Anatomy knowledge
- Patient monitoring
- Employee stock purchase plan
- Health insurance
Quick Apply
10d
Physician Opportunities
Summit Medical Consultants LLC —Colorado Springs, CO
- $300,000 - $350,000 a year
- Weekends as needed
- Medicine
- Skilled nursing facility
- Nursing home
- Health savings account
- Relocation assistance
Quick Apply
Rehab Supervisor (Physical Therapist) - Home Health
NEOGREEN Solutions —Los Angeles, CA
- $130,000 a year
- CPR Certification
- Management
- BLS Certification
- Paid holidays
- Health insurance
Quick Apply
Branch Clinical Manager (RN) Home Health
Adaptive Home Health —Detroit, MI
- Full-time
- RN License
- Home Health
- Senior level
Quick Apply
Director, Member Advocate Center
Costco Auto Program —Reno, NV
- $100,000 - $110,000 a year
- Full-time
- 7 years
- Microsoft Outlook
- Bachelor's degree
Quick Apply
Cutting Room Manager- Knit Apparel
Royal Apparel —Hauppauge, NY
- $80,000 - $100,000 a year
- Full-time
- Spanish
- 5 years
- English
- Relocation assistance
- Health insurance
Quick Apply
4d
Assistant Director of Nursing (Home Health) – RN or LPN/LVN – $95,000–$115,000/yr FT | Las Cruces
Matrix Home Care Services of New Mexico —Las Cruces, NM
- $95,000 - $115,000 a year
- Full-time
- Background check
- Spanish
- Nursing
- Health insurance
- Paid time off
Quick Apply
12d
UAS Assessment Nurse - Intake (CLINICAL ASSESSMENT MANAGER)
Matter of Care —Brooklyn, NY
- $110,000 - $115,000 a year
- Full-time
- Bilingual
- Nursing
- RN License
- Travel reimbursement
- Commuter assistance
Data & IT Manager
Albany Damien Center —Albany, NY
- $70,000 - $75,000 a year
- Email
- Background check
- Computer Science
- Mid-level
- Health savings account
- Health insurance
Quick Apply
12d
Manufacturing Engineering Manager
Overhead Door Corporation —Williamsport, PA
- $115,162.51 - $130,765.60 a year
- Full-time
- Background check
- 7 years
- Master's degree
Quick Apply

I want to receive the latest job alert for utilization manager

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization manager jobs near

Collaborative Care Manager (LPN/RN)

Lumina Care -
Remote

Quick Apply

Job Details

Full-time
$27 - $35 an hour

Benefits

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

Qualifications

Teamwork
Long term care experience
Utilization review
Psychiatry
RN License
Patient assessment
Long-term care facility experience
Utilization management
Attention to detail
Resource utilization in healthcare
Working with individuals with mental health conditions
Psychiatric care
Care plans

Full Job Description

Company Overview:

Lumina Care is focused on unifying, coordinating, and managing care for geriatric patients in nursing facilities and at home. We offer a range of services to improve health outcomes and quality of life for patients, including afterhours telehealth, transitional care, chronic care, remote patient monitoring, behavioral health and telehealth psychiatry.

Job Overview
The Collaborative Care Manager will support our Collaborative Care Management (CoCM) program. The successful candidate will conduct monthly chart reviews to assess patient history, current care plan and identify any opportunities in care delivery to improve the management of various psychiatric diagnoses for patients residing in long-term care, assisted living, and rehabilitation settings. This role focuses on identifying care gaps and ensuring patients receive appropriate mental health support through structured care plans.

Role & Core Responsibilities:

Actively participant in the care team to review, augment and update care plans to be patient centered following patient goals of care and advanced care planning.
Identify and collaborate to identify care opportunities to improve health outcomes and enhance the quality of life for patients.
Utilize the ThoroughCare platform to document care plans and patient progress.
Ensure documentation is accurate, complete, and compliant with healthcare regulations.
Perform monthly chart reviews to assess patient progress and identify gaps in psychiatric care.
Monitor treatment adherence, including medication compliance and therapy participation.
Identify missed interventions, such as delays in psychiatric evaluations or medication adjustments.
Regularly review patient records for adherence to psychiatric treatment plans.
Ensure accurate and timely documentation in compliance with healthcare standards.
Communicate findings and recommendations to internal quality improvement teams.
Collaborate with Team Leads and RN Clinical Managers for clinical growth and development.
Meets established performance metrics and quality benchmark scores.
Support the Lumina Care mission to solve the problems in care delivery that slow down collaboration, coordination, and communication—causing care to be more complicated than necessary

The listed responsibilities are not an exhaustive list and may contain other duties as assigned. Consistent with the Americans with Disabilities Act (ADA), it is the policy of Lumina Care to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship.

Qualifications:

Active and unrestricted compact Licensed Practical Nurse (LPN) or Registered Nurse (RN) is required.
Experience in behavioral health, psychiatric nursing, long-term care, rehabilitation, or quality improvement is a plus.
Technology proficiency in electronic health records (EHR) and care management software (e.g., ThoroughCare, Sigma Care, and Matrix).
Strong attention to detail, analytical skills, and ability to identify care gaps.
Candidates are required to use their own equipment.

Pay: $27-$35/hr. Compensation is determined based on market range, experience, skills, education, and qualifications.

List of other benefits:

We offer a comprehensive and competitive benefits package to support our employees, including:

Medical, Dental, and Vision Insurance
Paid Time Off (PTO)
Paid Holidays and Floating Holidays
Flexible Work Arrangements and Remote Work Options

Summary:

Lumina Care is an Equal Opportunity Employer. We consider all qualified applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by law.

Job Type: Full-time

Pay: $27.00 - $35.00 per hour

Benefits:

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

Application Question(s):

Have you worked remotely? If so, how many years?
Can you start ASAP (6/1/2026)?

Experience:

Care plans: 1 year (Required)
Long term care: 1 year (Required)
Utilization management: 1 year (Required)
Psychiatric care: 1 year (Required)

License/Certification:

LPN/RN (Required)

Work Location: Remote

Quick Apply

Refine Your Search

utilization manager jobs

Collaborative Care Manager (LPN/RN)

Care Manager, Concurrent Review (Remote)

Denials & Appeals Administrator (RN)

Oncology Prior Authorization Case Manager, Non-RN - Remote

CHS Utilization and Appeals Manager

Sr. Manager of Member Engagement

Utilization Review Specialist

Prior Authorization RN

Team Medical Director

PACE Medical Director, Jordan Valley Senior Care

Emergency Department Manager

Physician Opportunities

Rehab Supervisor (Physical Therapist) - Home Health

Branch Clinical Manager (RN) Home Health

Director, Member Advocate Center

Cutting Room Manager- Knit Apparel

Assistant Director of Nursing (Home Health) – RN or LPN/LVN – $95,000–$115,000/yr FT | Las Cruces

UAS Assessment Nurse - Intake (CLINICAL ASSESSMENT MANAGER)

Data & IT Manager

Manufacturing Engineering Manager

I want to receive the latest job alert for utilization manager

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected