Remote Utilization Management Jobs
Remote from:
Software Development 17838B2B Sales & Account Management 10968CRM & Direct Marketing 10917Product 9303Back-End Development 9223Management and Leadership 8423Data and Analytics 8147finance 8094IT & Engineering 6553Enterprise Sales 6500Project & Program Management 5958Customer Support & Service 5958Sustainability & CSR 5474Sales Leadership & Strategy 5011DevOps & Infrastructure 4737Growth & Performance 3338Front-End Development 2857
393 jobs
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Registered Nurse-Review Analys
Registered Nurse-Review Analys
Today
ICONMA
- From: Michigan (USA) (Full Remote)
- Full time
Utilization ManagementAnalyticsClinical AssessmentsCare Management
Utilization Review Clinician - BH
Utilization Review Clinician - BH
Today
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementBehavioral HealthPrior Authorization
Medical Director
Medical Director
Today
Centene Corporation
- From: Ohio (USA) (Full Remote)
- Part time
Clinical GovernanceUtilization ManagementQuality AssessmentClinical Auditing
Utilization Review Clinician - ABA
Utilization Review Clinician - ABA
Today
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthABA Intervention
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
Today
Centene Corporation
- From: Florida (USA), Kentucky (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
RN II, Primary Nurse Care- (Behavioral Health)
RN II, Primary Nurse Care- (Behavioral Health)
Today
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
Care ManagementNurse Licensure CompactClinical AssessmentsMental Health Nursing
Utilization Review Clinician
Utilization Review Clinician
Today
Valley Hope
- From: Colorado (USA), Kansas (USA), Missouri (USA), Nebraska (USA), Oklahoma (USA), Texas (USA) (Full Remote)
- Full time
Care ManagementBehavioral HealthCounseling TechniquesUtilization Management
Director, Trade Client Strategy - Synergie Medication Collective (Fully Remote)
Director, Trade Client Strategy - Synergie Medication Collective (Fully Remote)
Today
BlueCross BlueShield of South Carolina
- From: Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), District of Columbia (USA), Florida (USA), Georgia (USA), Indiana (USA), Iowa (USA), Maine (USA), Maryland (USA), Massachusetts (USA), Michigan (USA), Minnesota (USA) (Full Remote)
- Full time
Pharmaceutical SciencesUtilization ManagementPharmacy Benefit ManagementClient Services
Psychologist Reviewer
Psychologist Reviewer
Today
Centene Corporation
- From: Kentucky (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthPsychometrics
Medical Management Accreditation & Audit Coordinator
Medical Management Accreditation & Audit Coordinator
Today
Health Care Service Corporation
- From: Illinois (USA), Montana (USA), New Mexico (USA), Oklahoma (USA), Texas (USA) (Full Remote)
- Full time
Utilization ManagementNursingQuality Assessment
Career Opportunities: Clinical Operations Manager (24994)
Career Opportunities: Clinical Operations Manager (24994)
Today
CareOregon
- From: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
Clinical System OperationsUtilization ManagementNursingCare Management
Career Opportunities: Actuary (24993)
Career Opportunities: Actuary (24993)
Today
CareOregon
- From: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
Data ManagementSAS (Software)SQL (Programming Language)Actuarial Science
Clinical Appeals Nurse (PRN)
Clinical Appeals Nurse (PRN)
Today
Netsmart
- From: United States (Full Remote)
- Part time
AppealsMedical Record Management
Medical Director- Radiation Oncology - EviCore - REMOTE
Medical Director- Radiation Oncology - EviCore - REMOTE
Today
The Cigna Group
- From: United States (Full Remote)
- Full time
Clinical AssessmentsRadiation Oncology
RN Review Analyst
RN Review Analyst
Today
KYYBA Inc
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical Assessments
RN Training and Quality Assurance Coordinator (Home Health/Hospice) - Palmetto GBA
RN Training and Quality Assurance Coordinator (Home Health/Hospice) - Palmetto GBA
1 day ago
BlueCross BlueShield of South Carolina
- From: Alabama (USA), Florida (USA), Georgia (USA), Kentucky (USA), North Carolina (USA), South Carolina (USA), Tennessee (USA) (Full Remote)
- Full time
Clinical Assessments
Medical Director - Pediatric Pulmonology - EviCore - Remote
Medical Director - Pediatric Pulmonology - EviCore - Remote
Today
The Cigna Group
- From: United States (Full Remote)
- Full time
PulmonologyClinical Assessments
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
1 day ago
Centene Corporation
- From: Florida (USA), Georgia (USA), New Jersey (USA), North Carolina (USA), Ohio (USA), South Carolina (USA), Texas (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
UM Nurse Analyst (Remote)
UM Nurse Analyst (Remote)
Today
Availity
- From: United States (Full Remote)
- Full time
Natural Language Processing (NLP)Utilization ManagementMedical Guideline
Physician Reviewer, Medical Managment
Physician Reviewer, Medical Managment
2 days ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementAssessment And AuthorizationMedical ManagementCase Management Systems
Utilization Review Clinician - BH
Utilization Review Clinician - BH
1 day ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Medical Director, Denials Management
Medical Director, Denials Management
Today
CorroHealth
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical MedicineMedflow EMR
Medical Director, Operations, Cardiovascular
Medical Director, Operations, Cardiovascular
Today
Cohere Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisClinical InformaticsCardiologyManaged Care
Care Manager RN - Remote
Care Manager RN - Remote
2 days ago
Highmark Health
- From: Alabama (USA), Alaska (USA), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), District of Columbia (USA), Florida (USA), Georgia (USA), Hawaii (USA), Idaho (USA), Illinois (USA), Indiana (USA) (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceCare ManagementClinical Assessments
Manager, Healthcare Analytics
Manager, Healthcare Analytics
1 day ago
Centene Corporation
- From: Florida (USA), Michigan (USA), Missouri (USA) (Full Remote)
- Full time
Data ManagementProject ManagementSQL (Programming Language)Healthcare Analytics
Field Medical Director, Physical Medicine and Rehab
Field Medical Director, Physical Medicine and Rehab
1 day ago
New Century Health
- From: United States (Full Remote)
- Part time
Physical Medicine And RehabilitationMedical Licensing (Health Law)
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
2 days ago
Centene Corporation
- From: Arkansas (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Utilization Review Nurse, Part-Time, Remote (Evergreen) (Open)
Utilization Review Nurse, Part-Time, Remote (Evergreen) (Open)
1 day ago
Netsmart
- From: United States (Full Remote)
- Part time
Utilization ManagementNurse Licensure CompactInterQual Criteria
RN I
RN I
3 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: Connecticut (USA), Delaware (USA), New Jersey (USA), New York (USA), Pennsylvania (USA) (Full Remote)
- Full time
Nurse Licensure Compact
Care Manager II, Utilization Mgmt Acute
Care Manager II, Utilization Mgmt Acute
3 days ago
Sutter Health
- From: California (USA) (Full Remote)
- Full time
Evidence-Based PracticeUtilization ManagementTransitional CareClinical Documentation
Utilization Review Nurse, PRN, Remote
Utilization Review Nurse, PRN, Remote
1 day ago
Netsmart
- From: United States (Full Remote)
- Part time
InterQual CriteriaNurse Licensure CompactUtilization ManagementMedical Record Management
Triage Nurse 1 - Carebridge
Triage Nurse 1 - Carebridge
3 days ago
Elevance Health
- From: Arizona (USA), Florida (USA), Indiana (USA), Iowa (USA), Kansas (USA), Massachusetts (USA), New Mexico (USA), Ohio (USA), Tennessee (USA), Texas (USA), Virginia (USA) (Full Remote)
- Full time
Nurse Licensure CompactTriageCare ManagementClinical Documentation
Utilization Management Coordinator (Work from home)
Utilization Management Coordinator (Work from home)
4 days ago
NeueHealth
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementMedical Abbreviations
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
3 days ago
Centene Corporation
- From: Alabama (USA), Arkansas (USA), Iowa (USA), Kansas (USA), Louisiana (USA), Mississippi (USA), Missouri (USA), Nebraska (USA), Oklahoma (USA), Texas (USA), Wisconsin (USA) (Full Remote)
- Full time
Discharge PlanningUtilization ManagementMedical Necessity
Utilization Management Coordinator (Home-Based) - Prior Authorization
Utilization Management Coordinator (Home-Based) - Prior Authorization
7 days ago
Sanford Research
- From: Minnesota (USA) (Full Remote)
- Full time
Authorization (Computing)Utilization ManagementHealth Reimbursement ArrangementCoding Theory
Vice President of Business Development
Vice President of Business Development
1 day ago
Aspire Software
- From: United States (Full Remote)
- Full time
- Expert & Leadership (>10 years)
Revenue GrowthBusiness StrategiesBusiness DevelopmentClinical Consulting
Care Worker
Care Worker
1 day ago
Magellan Health
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementDisease ManagementCare Management
Clinical Doc Spec PRN
Clinical Doc Spec PRN
5 days ago
Wellstar Health System
- From: Georgia (USA) (Full Remote)
- Part time
Coding TheoryMedical Record ManagementClinical Documentation
Utilization Management
Utilization Management
2 days ago
Acadia Healthcare
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementClinical Assessments
Payment Integrity Analyst II
Payment Integrity Analyst II
7 days ago
CERIS
- From: Texas (USA) (Full Remote)
- Full time
ICD Coding (ICD-9/ICD-10)Diagnosis-Related GroupClaims And Litigation Management
Utilization Management Coordinator (Home-Based) - Prior Authorization
Utilization Management Coordinator (Home-Based) - Prior Authorization
7 days ago
Sanford Research
- From: Wisconsin (USA) (Full Remote)
- Full time
Utilization ManagementCoding TheoryHealth Reimbursement ArrangementPrior Authorization
Remote Licensed Clinical Therapist - IL license
Remote Licensed Clinical Therapist - IL license
7 days ago
Monte Nido
- From: Illinois (USA) (Full Remote)
- Freelance
Eating Disorder TreatmentDischarge PlanningClinical Social WorkNutrition Intervention
Medical Field Case Manager
Medical Field Case Manager
7 days ago
Enlyte
- From: Illinois (USA) (Full Remote)
- Full time
Care ManagementNursingWorkers' CompensationClinical Practices
Triage Nurse I - Carebridge
Triage Nurse I - Carebridge
3 days ago
Elevance Health
- From: Arizona (USA), Florida (USA), Indiana (USA), Iowa (USA), Kansas (USA), Massachusetts (USA), New Mexico (USA), Ohio (USA), Tennessee (USA), Texas (USA), Virginia (USA) (Full Remote)
- Full time
Nurse Licensure Compact
Triage Nurse I - Carebridge - Overnight
Triage Nurse I - Carebridge - Overnight
3 days ago
Elevance Health
- From: Arizona (USA), Florida (USA), Indiana (USA), Iowa (USA), Kansas (USA), Massachusetts (USA), New Mexico (USA), Ohio (USA), Tennessee (USA), Texas (USA), Virginia (USA) (Full Remote)
- Full time
Emergency Medical ServicesNurse Licensure CompactTriageCare Management
Utilization Review, RN
Utilization Review, RN
7 days ago
MedCost LLC
- From: North Carolina (USA) (Full Remote)
- Full time
Utilization ManagementMedical NecessityClinical Documentation
UM Prior Authorization Nurse, RN (Work from home)
UM Prior Authorization Nurse, RN (Work from home)
4 days ago
Bright Health
- From: California (USA) (Full Remote)
- Full time
Authentication ServersUtilization ManagementMedical NecessityClinical Consulting
Utilization Management RN
Utilization Management RN
6 days ago
Humana
- From: South Carolina (USA) (Full Remote)
- Full time
Utilization ManagementClinical Nursing
Clinical CDI Specialist
Clinical CDI Specialist
16 days ago
Acuity Systems, Inc.
- From: Texas (USA) (Full Remote)
- Full time
Revenue ManagementTechnology AlignmentClinical Consulting
Texas State Dental Director DHMO
Texas State Dental Director DHMO
13 days ago
Guardian Life
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementDental ExperienceTotal Quality ManagementClaims And Litigation Management
