Utilization management jobs in Cleveland, OHCreate job alerts

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary ca...

Overview: The Project Manager is responsible for, but not limited to, managing all requirements for Civil and Construction projects including change orders, submittals, procurement, project financial set-up, project financial updates, and project schedule to ensure projects are completed in a qu...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients ...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients ...

Inizio Engage has partnered with Tonix Pharmaceuticals and are seeking performance-driven, competitive, highly entrepreneurial, and analytical Regional Sales Manager who are willing to put forth discretionary effort to ensure their region meets and exceeds expectations. This is a highly innovativ...

Job Description: We Deliver the Goods: - Competitive pay and benefits, including Day 1 Health & Wellness Benefits, Employee Stock Purchase Plan, 401K Employer Matching, Education Assistance, Paid Time Off, and much more. - Growth opportunities performing essential work to support America’s food...

The Senior Sales Representative is required to grow top line sales for the Sherwin-Williams brand portfolio at assigned Menards stores within their assigned territory through implementing sales/marketing programs, sales calls to professional customers, training activities, service, and merchandis...

Description A Brief Overview \n The responsibility of the Trauma Data Coordinator is to ensure the Trauma Registry contains detailed, reliable, and readily accessible information needed to support the operations, quality initiative and research of University Hospitals Medical Centers. Data coll...

Purpose of Position Responsible for the management and coordination of the Quality Control and Process Engineering functions. Key Accountabilities - Direct supervision of Process Engineer. - Support plant level ISO 9001 and ISO 14001 programs. - Interface with Corporate Research and Deve...

Are you a detail-oriented professional with a passion for managing payroll and benefits? We are seeking a dedicated Payroll and Benefits Administrator to join our dynamic team. In this role, you will be responsible for ensuring accurate and timely payroll processing, administering employee benefi...

Job Description MetLife Legal Plans is currently hiring a CSC (Client Service Center) Workforce Management Specialist. This individual will report directly into our Client Service Center Manager. Work location: Remote but the candidate must be in the greater Cleveland area, with the need to co...

SUMMARY Develop and maintain high quality client relations through sales, project management and personnel management. Ensure that air quality and multimedia projects are completed correctly, on time and budget, and that quality projects are made available for the assigned team. ESSENTIAL DU...

Job Description Why work for CVRx? CVRx pioneers unique therapies that harness and harmonize the body's natural systems, benefiting society and making CVRx a universal role model in healthcare. We value our commitments to others and continue to overcome challenges through determination, collabor...

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involv...

Job Description An engineering firm that has been in business for decades is hiring a Structural Restoration Manager for their Cleveland team! Responsibilities: - Provide Project Managers with the resources needed to complete projects - Create work plans/estimates for specific discipli...

Job DescriptionDescriptionThe Mannik & Smith Group, Inc. (MSG) is a people focused, award-winning, full-service consulting firm that offers a wide array of services including civil and geotechnical engineering, environmental consulting, planning, landscape architecture, agriculture, surveying and...

Job Description Purpose of Position Responsible for the management and coordination of the Quality Control and Process Engineering functions. Key Accountabilities - Direct supervision of Process Engineer. - Support plant level ISO 9001 and ISO 14001 programs. - Interface with Corporate Rese...

Job DescriptionThe Grant Accountant is a key member of the accounting team who works directly with the Controller and funding source contacts for all grants. The Grant Accountant exercises independent judgment and discretion in planning and carrying out the duties of the job. In addition, this ro...

Job Description Join Our Dynamic Team as a Business Development Manager! Are you ready to take your career to new heights? Miller’s Textile Services, a family-owned company, is on the lookout for exceptional talent to join our team. We pride ourselves on our hard-working culture, flexibility, an...

Job Description About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for ...

Job DescriptionJOB SUMMARY: The Regional Outreach and Marketing Specialist’s primary function is to secure an ongoing source of appropriate referrals for all out-of-home care service programs of Bellefaire Jewish Children’s Bureau. The Regional Outreach and Marketing Specialist will travel exten...

Job Description Job Title: Director of Continuous Improvement Minimum of 10 years of experience in manufacturing environments, with 5+ years in a dedicated continuous improvement or operational excellence leadership role. Location: Remote (with up to 50% travel across U.S. facilities; occasion...

Job Description MetLife Legal Plans is currently hiring a Regional Account Specialist for our growing Business Growth & Retention Department. This will be a hybrid position, with the individual working two days a week in our Cleveland, OH office and three days remote. This individual will repo...

Job Description Overview In this full-time or part-time role, as the RMD, under supervision of the CMO, you will have several administrative, supervisory, business development, quality improvement and clinical responsibilities. While providing day-to-day clinical care to residents residing in fa...

Job DescriptionPRN Family Nurse Practitioner The Nurse Practitioner will serve as the general practice primary care provider for the Wuliger Wellness Center. The Nurse Practitioner will treat all ages and conditions, as appropriate for the setting, and make appropriate referrals as needed. This r...

Job Summary - Fully functioning Sales Professional role that plans and executes a moderately complex sales process, focusing on gaining and leveraging an understanding of the customers’ objectives across their full spectrum of needs. The Senior Specialty Sales Professional has broad knowledge o...

Job DescriptionDescription: Company Overview: Margaritaville and Landshark is a warm and inviting place where people from all walks of life come together to create paradise. We offer an exciting employment experience where creating and delivering fun and escapism for our guests is the goal we see...

Job Description Role Responsibilities: Supervisory Responsibilities: - Responsible for supporting Slot Operations Management in all departmental initiatives related to training, and process/procedure development. - Maintains working knowledge of all local jurisdictional gaming laws (federal...

Job Description Position Title: Internship- Business Data Analyst Reports To: Manager of Business Analysis and Process Location: Cleveland, OH / Hybrid Hours: Part time/ or hybrid full time Company Overview TransTech provides custom-engineered and fabricated solutions for liquids and g...

Job Description Join a Leading Team at The Center for Health Affairs and CHAMPS Healthcare! We're more than just a workplace—we're a community of passionate professionals committed to your success. Whether you're advancing in your role or exploring new opportunities, we provide the support you n...

Job DescriptionDescription: Position Summary: - Responsible for overseeing the day-to-day operations of the assigned Rose Center including management of daily programming and services, the nutrition program, and transportation services according to agency policies and procedures. - Administers...

Job Description We are seeking a hands-on, results-driven Production Supervisor to oversee daily operations at our Cleveland, OH manufacturing facility. The ideal candidate will have strong leadership skills, experience in manufacturing, and a background in lean manufacturing and process improvem...

Job Description Job Summary: The Youth Empowerment Program Coordinator is responsible for the comprehensive implementation and ongoing operation of the Basic Center Program, designed to empower and support at-risk and homeless youth. This role involves providing dynamic leadership, strategic coo...

Job Description Job Title: Senior IT Lead Company Overview TransTech is a leading provider of specialized infrastructure and custom-engineered equipment for diverse industries. Our expansive capacity and technical expertise enable large-scale production of complex, high-quality equipment wh...

Job DescriptionSocial Work Intern (Hospital)- Fall season 2025 Bluestone Child & Adolescent Hospital is seeking dynamic healthcare professionals interested in bringing psychiatric care to a new level for children ages 6-17. Working in a brand new, 12 bed state-of-the-art facility, Bluestone staff...

Job DescriptionVice President – Services Group 15+ years in senior roles within field services, industrial construction, or maintenance. Location: Flexible U.S. location with travel to field operations and key customer sites Reports to: Chief Executive Officer, TransTech Group Division: Servic...

The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses.The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention ...

Minimum 1+ years pharmacy experience required.Staff Pharmacist Inpatient & Ambulatory Care.Considered on a case-by-case basis.Looking to break out of a narrow role and build true clinical versatility? This is your opportunity to do just that.Our Central Pennsylvania hospital is seeking a.You'll b...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation ...

Minimum 1+ years pharmacy experience required.This is a high-volume, fast-paced environment supporting post-acute care facilities.PM 12:00 AM or 6:00 PM 1:00 AM.AM 5:00 PM or 10:00 AM 6:00 PM (TPN experience required).Enter and verify prescriptions.Oversee automation and check strip packs.Review

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation ...

Minimum 1+ years pharmacy experience required.Soliant Health is currently scheduling interviewsfor a Night Pharmacist with long term care pharmacy experience for a 13 week contract in Ohio.The ideal candidate must have experience working in a high-volume setting, have prior ltc experience, and ha...

CrossMed Healthcare is seeking an experienced Medical Surgical/Telemetry Registered Nurse for an exciting Travel Nursing job in Beachwood, OH.Shift: Inquire Start Date: ASAP Duration: 13 weeks Pay: $1897.At CrossMed Healthcare Staffing, we aim to create lasting impressions wherever we go.Embark o...

Minimum 1+ years pharmacy experience required.If you're a pharmacist in Ohio looking to take the next step in your career, this is a rare opportunity to break out of a siloed role and grow in both.Unlike many larger systems, this hospital encourages pharmacists to broaden their experience, not bo...

Medpro Healthcare Staffing is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in Cleveland, OH.Shift: 3x12 hr flex Start Date: 06/30/2025 Duration: 13 weeks Pay: $2573 / Week.Joint Commission-certified staffing agency, is seeking a quality Step Down Regist...

Accountable for outstanding quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives....

Uniti Med is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Cleveland, OH.Shift: Inquire Start Date: 06/30/2025 Duration: 13 weeks Pay: $2340 / Week.Uniti Med provides career opportunities to healthcare professionals by aiding medical facilities to fill th...

Care Hospice is seeking a Registered Nurse (RN) Case Management for a nursing job in Cleveland, Tennessee.