Remote Utilization Management Jobs
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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
341 jobs
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Care Manager RN
Care Manager RN
Today
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
- Senior (5-10 years)
Utilization ManagementCare ManagementAnalyticsClinical Assessments
Associate Director, UM Nursing
Associate Director, UM Nursing
Today
Humana
- From: Indiana (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementClinical Nursing
Remote Medicare Medical Director
Remote Medicare Medical Director
Today
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementClinical AssessmentsClinical Quality Management
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
Today
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisAuthorization (Computing)Regulatory ComplianceMedical Necessity
Telephonic Medical Case Management (Workers' compensation)
Telephonic Medical Case Management (Workers' compensation)
Today
TRISTAR Insurance Group
- From: United States (Full Remote)
- Full time
Care CoordinationCare ManagementWorkers' CompensationClinical Assessments
Care Coordinator Associate - Authorization Hub
Care Coordinator Associate - Authorization Hub
Today
MultiCare Health System
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Digital Technology
Clinical Pharmacist
Clinical Pharmacist
Today
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Medication Therapy ManagementUtilization ManagementHospital PharmacyPharmacology
Utilization Review Nurse
Utilization Review Nurse
Today
The Oncology Institute
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Supervisor Utilization Management
Supervisor Utilization Management
Today
Cambia Health Solutions
- From: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementNurse Licensure CompactClinical Assessments
Manager Care Management
Manager Care Management
1 day ago
Cambia Health Solutions
- From: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Case Management SystemsCare ManagementUtilization Management
Customer Success Manager
Customer Success Manager
1 day ago
Coursera
- From: Thailand (Full Remote)
- Full time
- Senior (5-10 years)
Account ManagementCustomer Success ManagementCustomer RetentionAnalytics
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
1 day ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisAuthorization (Computing)Regulatory ComplianceMedical Necessity
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
1 day ago
Centene Corporation
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementNurse Licensure CompactMedical Necessity
Clinical Reviewer, Physical Therapy - Part Time
Clinical Reviewer, Physical Therapy - Part Time
Today
New Century Health
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementPhysical Therapy
Medical Case Manager
Medical Case Manager
4 days ago
BlueCross BlueShield of Tennessee
- From: Tennessee (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care ManagementNursingChronic Care
Behavioral Health Clinical Liaison
Behavioral Health Clinical Liaison
5 days ago
Centene Corporation
- From: North Carolina (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
AnalyticsBehavioral HealthUtilization ManagementMedical Science
Clinical Reviewer, Nurse Surgery - Full Time
Clinical Reviewer, Nurse Surgery - Full Time
Today
New Century Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization Management
Clinical Reviewer, Nurse Surgery - Part Time
Clinical Reviewer, Nurse Surgery - Part Time
Today
New Century Health
- From: United States (Full Remote)
- Part time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization Management
Regional Director of MSLs, CVM Southwest Region Remote
Regional Director of MSLs, CVM Southwest Region Remote
7 days ago
Novartis
- From: New Mexico (USA), Oklahoma (USA), Texas (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Compliance ManagementHealthcare Strategy
Behavioral Health Utilization Management Clinician - Remote VA and NC
Behavioral Health Utilization Management Clinician - Remote VA and NC
6 days ago
Sentara Healthcare
- From: North Carolina (USA), Virginia (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementBehavioral HealthSubstance Dependence
Behavioral Health Clinical Liaison
Behavioral Health Clinical Liaison
9 days ago
Centene Corporation
- From: Washington (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementBehavioral HealthCare ManagementClinical Assessments
Associate Director, RN Medical Management Services
Associate Director, RN Medical Management Services
12 days ago
Banner Health
- From: Arizona (USA) (Full Remote)
- Full time
Care ManagementMedical ManagementPrior Authorization
RN Review Analyst
RN Review Analyst
4 days ago
KYYBA Inc
- From: Michigan (USA) (Full Remote)
- Full time
Acute CareUtilization ManagementNurse Licensure CompactCare Management
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- From: United Kingdom (Full Remote)
- Senior (5-10 years)
- 81 - 113K
Medical Management
National Medical Director
National Medical Director
30+ days ago
CorVel Corporation
- From: Virginia (USA) (Full Remote)
- Part time
- Expert & Leadership (>10 years)
Regulatory ComplianceUtilization Management
Field Reimbursement Manager - Tzield -Northwest
Field Reimbursement Manager - Tzield -Northwest
15 days ago
Sanofi
- From: Alaska (USA), Idaho (USA), Montana (USA), Oregon (USA), Washington (USA), Wyoming (USA) (Full Remote)
- Full time
Coding TheoryReimbursement RegulationsPrivileged Access ManagementBilling
Healthcare - Care Review Clinician I
Healthcare - Care Review Clinician I
6 days ago
Saviance Technologies Pvt. Ltd.
- From: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), New York (USA), Ohio (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
- Entry-level / graduate
Behavioral HealthNurse Licensure CompactPrior Authorization
Utilization Review Analyst (Remote)
Utilization Review Analyst (Remote)
1 day ago
Medical Review Institute
- From: United States, Salt Lake City (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementAnatomyPhysiologyMedical Abbreviations
RN Supervisor-Commercial Hospital Utilization Review
RN Supervisor-Commercial Hospital Utilization Review
7 days ago
Sentara Healthcare
- From: Alabama (USA), Delaware (USA), Florida (USA), Georgia (USA), Idaho (USA), Indiana (USA), Kansas (USA), Louisiana (USA), Maine (USA), Maryland (USA), Minnesota (USA), Nebraska (USA), Nevada (USA), New Hampshire (USA), North Carolina (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementUtilization Management
Clinical Documentation Specialist 1 - Remote
Clinical Documentation Specialist 1 - Remote
30+ days ago
University of Miami
- From: Florida (USA) (Full Remote)
- Full time
Utilization ManagementReimbursement RegulationsData AbstractionClinical Documentation
Behavioral Health Care Manager II
Behavioral Health Care Manager II
4 days ago
Elevance Health
- From: Florida (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementBehavioral HealthCare ManagementClinical Assessments
Remote Behavioral Medical Director
Remote Behavioral Medical Director
5 days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
Sidecar Health
- From: Florida (USA), Georgia (USA), Kentucky (USA), Ohio (USA) (Full Remote)
- Full time
Utilization ManagementMedical GuidelineNursingMedical Necessity
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare Coordination
Behavioral Health Clinical Liaison
Behavioral Health Clinical Liaison
4 days ago
Centene Corporation
- From: Florida (USA), Kentucky (USA), Missouri (USA) (Full Remote)
- Full time
- Senior (5-10 years)
AnalyticsBehavioral HealthUtilization ManagementMedical Science
Clinical Coding and OASIS Review Manager
Clinical Coding and OASIS Review Manager
30+ days ago
BAYADA Home Health Care
- From: Texas (USA) (Full Remote)
- Full time
ICD 503
Clinical Integration Liaison - Licensed/Remote in CA
Clinical Integration Liaison - Licensed/Remote in CA
30+ days ago
Magellan Health
- From: California (USA) (Full Remote)
- Full time
Clinical Data ExchangeUtilization ManagementProject ManagementMental Health Education
Oracle Utilities MDM Consultant
Oracle Utilities MDM Consultant
30+ days ago
Talpro - Leaders in Technology Hiring
- From: India (Full Remote)
- Full time
Oracle Application Framework (OAF)Java (Programming Language)IBM InfoSphere MDM
Registered Nurse-Review Analys
Registered Nurse-Review Analys
26 days ago
ICONMA
- From: Michigan (USA) (Full Remote)
- Full time
Utilization ManagementAnalyticsClinical AssessmentsCare Management
RN I, Part Time weekend position
RN I, Part Time weekend position
12 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Part time
- Entry-level / graduate
Nurse Licensure Compact
Clinical Facilitator, RN or SW
Clinical Facilitator, RN or SW
30+ days ago
Healthfirst
- From: New York (USA) (Full Remote)
- Full time
Support EngineeringAdult Learning PrinciplesClinical PracticesCurriculum Development
USRN (Utilization Review)
USRN (Utilization Review)
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
- Junior (1-2 years)
Utilization ManagementMedical Insurance Claims
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare CoordinationClinical Assessments
Remote Licensed Clinical Therapist - IL license
Remote Licensed Clinical Therapist - IL license
30+ days ago
Monte Nido
- From: Illinois (USA) (Full Remote)
- Freelance
Eating Disorder TreatmentDischarge PlanningClinical Social WorkNutrition Intervention
Clinical Implementation Specialist
Clinical Implementation Specialist
13 days ago
Danaher Corporation
- From: Arizona (USA), California (USA), Colorado (USA), Texas (USA) (Full Remote)
- Full time
Emergency MedicineDiagnostic MicrobiologyClinical PracticesProject Management
Ops-UM Training Specialist
Ops-UM Training Specialist
14 days ago
Integra Partners
- From: Arizona (USA), Colorado (USA), Connecticut (USA), Florida (USA), Georgia (USA), Idaho (USA), Illinois (USA), Kentucky (USA), Massachusetts (USA), Michigan (USA), New Jersey (USA), New York (USA), North Carolina (USA), Ohio (USA), Pennsylvania (USA) (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceClinical Documentation
Part-Time Weekend Medical Director (Remote)
Part-Time Weekend Medical Director (Remote)
4 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)
- Part time
- Senior (5-10 years)
Utilization ManagementMedical ManagementCare ManagementClinical Consulting
Texas Licensed Physician Reviewer - Neurological Surgery
Texas Licensed Physician Reviewer - Neurological Surgery
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Fixed term
NeurosurgeryMedical Licensing (Health Law)
Clinical Coding and OASIS Review Manager
Clinical Coding and OASIS Review Manager
30+ days ago
BAYADA Home Health Care
- From: Florida (USA) (Full Remote)
- Full time
ICD 503
Utilization Review, RN
Utilization Review, RN
30+ days ago
MedCost LLC
- From: North Carolina (USA) (Full Remote)
- Full time
Utilization ManagementMedical NecessityClinical Documentation
