Utilization Management

Military Treatment Facilities under DHA

Full-time · Fort Bragg, NC · $96,260 – $120,792

This federal position leads a utilization management branch responsible for ensuring medical referrals are clinically appropriate and necessary within military health services. It's suited to experienced nurses with administrative capabilities who can manage staff, develop policy, and improve operational efficiency in a complex healthcare system.

Via USAJOBS · Apply there ↗

Veterans Health Administration

Full-time · Grand Junction, CO · $87,267 – $150,275

This VA community care nursing role coordinates care delivery between Veterans Affairs facilities and community providers, managing referrals, triaging requests, and ensuring Veterans access timely, high-quality services across internal and external care settings. The position suits nurses experienced in care coordination who can navigate complex referral processes, work collaboratively across health systems, and advocate for patients through their care journey.

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Cohere Health

Full-time · United States · $196,000 – $215,000

Lead a team of Solution Architects at a healthcare technology company, responsible for setting design standards, managing technical escalations, and ensuring solution quality across complex client implementations. This role suits experienced technical leaders with deep healthcare domain expertise and a track record of growing technical teams in fast-paced environments.

Listed on Cohere Health’s careers site · Apply there ↗

Elevance Health

Full-time

This field-based role coordinates long-term services and supports for older adults and people with disabilities in Wisconsin's Family Care program, managing assessments, care planning, and interdisciplinary coordination. It suits someone with a social work background who wants to work directly with vulnerable populations on maximizing their independence and life goals.

Listed on Elevance Health’s careers site · Apply there ↗

Cigna

Full-time · $141,500 – $235,900

This director-level role leads the global restructuring of Cigna's clinical workforce, building scalable delivery models across international locations while maintaining regulatory compliance and clinical quality. It suits experienced healthcare operations leaders comfortable driving large-scale transformation across complex stakeholder groups and shifting clinical work between geographies and vendor models.

Listed on Cigna’s careers site · Apply there ↗

Cambia Health Solutions

Part-time · $217,600 – $294,400

This part-time role oversees behavioral health utilization management and prior authorization decisions for a health plan, working with provider networks and internal teams to ensure clinically sound, cost-effective care. It suits experienced psychiatrists seeking flexible leadership work in healthcare administration without full-time commitment.

Listed on Cambia Health Solutions’s careers site · Apply there ↗

Military Treatment Facilities under DHA

Full-time · El Paso, TX · $104,537 – $131,159

This is a supervisory nursing role at a federal military medical center focused on managing referral and utilization processes across the health system. It suits experienced nurses who want to lead clinical and administrative staff while optimizing healthcare access and resource allocation.

Via USAJOBS · Apply there ↗

Veterans Health Administration

Full-time · Tomah, WI · $77,771 – $147,657

This role coordinates care delivery for veterans across VA and community healthcare settings, managing complex care pathways and acting as a liaison between internal and external providers. It suits experienced nurses comfortable with case management systems and veterans' healthcare environments.

Via USAJOBS · Apply there ↗

Cohere Health

Full-time · United States · $96,000 – $125,000

This is a hands-on clinical operations role for someone with deep healthcare expertise to serve as a bridge between clinical strategy and product delivery at a health plan technology company. You'll own clinical requirements, testing, and governance while working cross-functionally to ensure the company's platform meets regulatory and clinical standards.

Listed on Cohere Health’s careers site · Apply there ↗

Elevance Health

Full-time

This role coordinates long-term services and supports for individuals in specialized programs, conducting assessments, developing care plans, and serving as the primary contact between clients and clinical teams. It suits someone with a social work background or equivalent experience who is bilingual in Spanish and English and can work independently in the field across central Florida counties.

Listed on Elevance Health’s careers site · Apply there ↗