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
339 jobs
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Integraal Ontwerpleider Bouw
Integraal Ontwerpleider Bouw
Today
BESIX
- From: Netherlands (Full Remote)
- Full time
- Senior (5-10 years)
Architectural DesignProject ManagementConstruction
Senior Clinical Review Therapist - Physical Health
Senior Clinical Review Therapist - Physical Health
Today
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementFamily TherapyMedical Devices
Primary Nurse Case Admin I - IL, NM, TX
Primary Nurse Case Admin I - IL, NM, TX
Today
Health Care Service Corporation
- From: Illinois (USA), New Mexico (USA), Texas (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Nurse RegistryDisease ManagementUtilization ManagementCare Management
Genetic Counselor Reviewer
Genetic Counselor Reviewer
1 day ago
Elevance Health
- From: Tennessee (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementGenetic CounselingMedical Necessity
Bilingual RN Case Manager
Bilingual RN Case Manager
Today
Cottingham & Butler
- From: Iowa (USA) (Full Remote)
- Full time
Care ManagementNurse Licensure CompactUtilization Management
SGS-Medical Case Manager
SGS-Medical Case Manager
Today
ICONMA
- From: Massachusetts (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Case Management SystemsTreatment PlanningNurse Licensure CompactClinical Assessments
Complex Discharge Planner
Complex Discharge Planner
Today
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Discharge PlanningNursingAcute CareCare Management
Vendor Insights Program Manager III
Vendor Insights Program Manager III
Today
Centene Corporation
- From: North Carolina (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Regulatory ComplianceVendor ManagementProject ManagementProcess Improvement
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
Today
Centene Corporation
- From: Texas (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementBehavioral HealthAddiction TreatmentClinical Assessments
Utilization Mgmt Nurse Rev Cycle
Utilization Mgmt Nurse Rev Cycle
Today
Advocate Aurora Health
- From: Illinois (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementCare Management
Care Coordinator - Inpatient RN
Care Coordinator - Inpatient RN
Today
Premera Blue Cross
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementClinical MedicineNursing
Clinical Care Reviewer II - NICU
Clinical Care Reviewer II - NICU
Today
CareSource
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementNeonatal CareNurse Licensure Compact
RN II, Primary Nurse Care
RN II, Primary Nurse Care
1 day ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care CoordinationCare ManagementNurse Licensure CompactClinical Assessments
RN II, Primary Nurse Care- (Telephonic Case Manager)
RN II, Primary Nurse Care- (Telephonic Case Manager)
1 day ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care CoordinationCare ManagementNurse Licensure CompactClinical Assessments
RN II
RN II
1 day ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care ManagementNurse Licensure CompactClinical Consulting
Behavioral Health Clinical Liaison
Behavioral Health Clinical Liaison
1 day ago
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
- Senior (5-10 years)
AnalyticsBehavioral HealthUtilization ManagementClinical Assessments
Care Manager RN
Care Manager RN
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
- Senior (5-10 years)
Utilization ManagementCare ManagementAnalyticsClinical Assessments
Manager, Utilization Management (Monday - Friday)
Manager, Utilization Management (Monday - Friday)
1 day ago
PacificSource Health Plans
- From: Georgia (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementRegulatory ComplianceProgram Development
Sales and Development Lead
Sales and Development Lead
1 day ago
Aspire Software
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Care ManagementRevenue GrowthBusiness DevelopmentClinical Consulting
Associate Director, UM Nursing
Associate Director, UM Nursing
2 days ago
Humana
- From: Indiana (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementClinical Nursing
Remote - Contract (1099) - Child Neurologist for Utilization Review
Remote - Contract (1099) - Child Neurologist for Utilization Review
1 day ago
Medical Review Institute
- From: United States, Dallas (Full Remote)
- Full time
Utilization ManagementNeurology
Medical Director -Pediatric Surgery- Evicore
Medical Director -Pediatric Surgery- Evicore
1 day ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Evidence-Based PracticeClinical AssessmentsClinical Assessments
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
2 days ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisAuthorization (Computing)Regulatory ComplianceMedical Necessity
Medicare Grievances and Appeals Corporate Medical Director
Medicare Grievances and Appeals Corporate Medical Director
1 day ago
Humana
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Medical DirectionClinical AssessmentsManaged Care
Manager Care Management
Manager Care Management
3 days 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
3 days ago
Coursera
- From: Thailand (Full Remote)
- Full time
- Senior (5-10 years)
Account ManagementCustomer Success ManagementCustomer RetentionAnalytics
Telephonic Medical Case Management (Workers' compensation)
Telephonic Medical Case Management (Workers' compensation)
1 day ago
TRISTAR Insurance Group
- From: United States (Full Remote)
- Full time
Care CoordinationCare ManagementWorkers' CompensationClinical Assessments
Clinical Pharmacist
Clinical Pharmacist
2 days ago
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
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
3 days ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisAuthorization (Computing)Regulatory ComplianceMedical Necessity
Care Coordinator Associate - Authorization Hub
Care Coordinator Associate - Authorization Hub
2 days ago
MultiCare Health System
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Digital Technology
Medical Case Manager
Medical Case Manager
5 days ago
BlueCross BlueShield of Tennessee
- From: Tennessee (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care ManagementNursingChronic Care
DSNP Strategy Advancement Advisor
DSNP Strategy Advancement Advisor
1 day ago
Humana
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementAnalytics
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
3 days ago
Centene Corporation
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementNurse Licensure CompactMedical Necessity
Regional Director of MSLs, CVM Southwest Region Remote
Regional Director of MSLs, CVM Southwest Region Remote
8 days ago
Novartis
- From: New Mexico (USA), Oklahoma (USA), Texas (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Compliance ManagementHealthcare Strategy
Utilization Review Nurse
Utilization Review Nurse
2 days ago
The Oncology Institute
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Behavioral Health Utilization Management Clinician - Remote VA and NC
Behavioral Health Utilization Management Clinician - Remote VA and NC
7 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
10 days ago
Centene Corporation
- From: Washington (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementBehavioral HealthCare ManagementClinical Assessments
Supervisor Utilization Management
Supervisor Utilization Management
2 days ago
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
Associate Director, RN Medical Management Services
Associate Director, RN Medical Management Services
13 days ago
Banner Health
- From: Arizona (USA) (Full Remote)
- Full time
Care ManagementMedical ManagementPrior Authorization
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
16 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
RN Review Analyst
RN Review Analyst
6 days ago
KYYBA Inc
- From: Michigan (USA) (Full Remote)
- Full time
Acute CareUtilization ManagementNurse Licensure CompactCare 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
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
Healthcare - Care Review Clinician I
Healthcare - Care Review Clinician I
8 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
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
