Top 49882 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
Senior Manager, Utilization Management
1199SEIU Family of Funds —New York, NY
- $125,400 - $156,700 a year
- Full-time
- Nursing
- 6 years
- RN License
Hybrid Inpatient Case Manager
Everly Talent LLC —Garden City, NY
- $95,000 - $105,000 a year
- Hybrid work
- Nursing
- RN License
- Inpatient
Quick Apply
3d
Field RN Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Management
- RN License
11d
Nurse Case Manager, Utilization Management
1199SEIU Family of Funds —New York, NY
- $89,400 - $106,100 a year
- Full-time
- Nursing
- RN License
- Mid-level
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 - Complex Cases
UCLA Health —Santa Monica, CA
- $65.53 - $84.75 an hour
- Nursing
- RN License
- BLS Certification
Program Manager EHR Trainer
SCA Health —Remote
- $112,000 - $125,000 a year
- Full-time
- 3 years
- Continuous improvement
- Mentoring
- Disability insurance
- Health insurance
9d
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
Care Manager, Concurrent Review (Remote)
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Nursing
- Microsoft Outlook
- RN License
Nurse Specialist II
Qlarant —Remote
- $56,055 - $83,665 a year
- Remote
- RN License
- Mid-level
- Bachelor's degree
Quick Apply
Care Manager-New Bedford/Fall River
Point32Health —Remote
- $87,073.33 - $130,609.99 a year
- Full-time
- Nursing
- RN License
- 5 years
- Disability insurance
- Health insurance
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
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
Clinical Review & Correspondence RN
Cohere Health —Remote
- $31 - $35 an hour
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
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
10d
Clinical Adjudication Manager (Part C)
TMF Health Quality Institute —Remote
- Weekends as needed
- Nursing
- Writing skills
- Supervising experience
- AD&D insurance
- Disability 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
Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)
TMF Health Quality Institute —Remote
- Full-time
- Nursing
- Supervising experience
- Team management
- AD&D insurance
- Disability 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

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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

Senior Manager, Utilization Management

Hybrid Inpatient Case Manager

Field RN Case Manager

Nurse Case Manager, Utilization Management

Sr. Manager of Member Engagement

RN Case Manager - Complex Cases

Program Manager EHR Trainer

Denials & Appeals Administrator (RN)

Care Manager, Concurrent Review (Remote)

Nurse Specialist II

Care Manager-New Bedford/Fall River

Denial & Appeals Coordinator, Remote

Mgr Denials Management

Clinical Review & Correspondence RN

Manager, Optimization

Clinical Adjudication Manager (Part C)

Oncology Prior Authorization Case Manager, Non-RN - Remote

Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)

CHS Utilization and Appeals Manager

I want to receive the latest job alert for utilization manager

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