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
368 jobs
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Pre-Authorization Nurse Supervisor
Pre-Authorization Nurse Supervisor
2 days ago
Humana
- From: Wisconsin (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementNursingPrior Authorization
RN I ( Transplant Case Manager)
RN I ( Transplant Case Manager)
3 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care CoordinationUtilization ManagementTransplant NursingClinical Assessments
Utilization Review Clinician - ABA
Utilization Review Clinician - ABA
3 days ago
Centene Corporation
- From: New Jersey (USA), New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementBehavioral HealthClinical AssessmentsApplied Behavior Analysis
Behavioral Health Clinical Liaison-1
Behavioral Health Clinical Liaison-1
4 days ago
Centene Corporation
- From: Washington (USA) (Full Remote)
- Full time
AnalyticsBehavioral HealthQuality AssessmentMedical Science
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
3 days ago
Centene Corporation
- From: California (USA), Texas (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
4 days ago
Centene Corporation
- From: Texas (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
RN II, Fully Insured Care Manager
RN II, Fully Insured Care Manager
3 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementNurse Licensure CompactClinical AssessmentsCare Management
Senior Utilization Review Clinician - Behavioral Health
Senior Utilization Review Clinician - Behavioral Health
3 days ago
Centene Corporation
- From: New Jersey (USA), New York (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Full Time Registered Nurse, Behavioral Health Complex Case Manager - Remote
Full Time Registered Nurse, Behavioral Health Complex Case Manager - Remote
4 days ago
Accolade, Inc.
- From: Pennsylvania (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Case Management SystemsNursingEducational AssessmentBehavioral Health
Remote Market Place Medical Director
Remote Market Place Medical Director
3 days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementQuality Assessment
Utilization Review Clinician - ABA
Utilization Review Clinician - ABA
4 days ago
Centene Corporation
- From: Florida (USA), North Carolina (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementBehavioral HealthClinical AssessmentsApplied Behavior Analysis
RN Case Manager - California
RN Case Manager - California
3 days ago
ConcertoCare
- From: California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care CoordinationCare ManagementNurse Licensure CompactPatient Education And Counseling
Medical Director - South Carolina SE Region
Medical Director - South Carolina SE Region
3 days ago
Humana
- From: South Carolina (USA) (Full Remote)
- Full time
Medical DirectionRegulatory ComplianceLanguage InterpretationUtilization Management
Medical Director
Medical Director
11 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
- Senior (5-10 years)
Utilization ManagementMedical ManagementCare ManagementTotal Quality Management
Senior Manager of Project Management
Senior Manager of Project Management
9 days ago
Caylent
- From: Canada (Full Remote)
- Full time
- Senior (5-10 years)
AWS Cloud ServicesProject Management
Senior Manager of Project Management
Senior Manager of Project Management
9 days ago
Caylent
- From: Canada (Full Remote)
- Full time
- Senior (5-10 years)
AWS Cloud ServicesProject Management
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
3 days ago
Centene Corporation
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Clinical Data AnalysisUtilization ManagementMedical NecessityAuthentication Servers
Manager, Utilization Management
Manager, Utilization Management
9 days ago
Healthfirst
- From: Alabama (USA), Arizona (USA), Colorado (USA), Connecticut (USA), Florida (USA), Georgia (USA), Indiana (USA), Iowa (USA), Kansas (USA), Louisiana (USA), Maine (USA), Maryland (USA), Massachusetts (USA), Minnesota (USA), Montana (USA) (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceClinical PracticesCare Management
Business Development Manager - New York Boroughs
Business Development Manager - New York Boroughs
9 days ago
Hydrafacial
- From: New York (USA) (Full Remote)
- Full time
Account ManagementClinical Medicine
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
Psychologist Peer Reviewer (Remote NC)
Psychologist Peer Reviewer (Remote NC)
10 days ago
Vaya Health
- From: North Carolina (USA) (Full Remote)
- Full time
PsychologyUtilization ManagementBehavioral HealthPeer Review
Utilization Management Coordinator
Utilization Management Coordinator
13 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
- Mid-level (2-5 years)
Medical SoftwareUtilization ManagementICD 503
Concurrent Review Nurse
Concurrent Review Nurse
16 days ago
Health Plan of San Joaquin
- From: California (USA) (Full Remote)
- Full time
Educational Assessment
Member & Recipient Svcs Clinician (Remote NC, Thur-Sat, 9a-9p)
Member & Recipient Svcs Clinician (Remote NC, Thur-Sat, 9a-9p)
16 days ago
Vaya Health
- From: North Carolina (USA) (Full Remote)
- Full time
Addiction TreatmentMental Health AssessmentsCrisis InterventionTriage
Manager Clinical Ops and Support- CHOICES
Manager Clinical Ops and Support- CHOICES
4 days ago
BlueCross BlueShield of Tennessee
- From: Tennessee (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care CoordinationGeneral SurgeryQuality Assessment
Utilzation Review
Utilzation Review
5 days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
US Registered Nurse
US Registered Nurse
9 days ago
Clark Outsourcing
- From: Philippines (Full Remote)
- Full time
- Mid-level (2-5 years)
Care CoordinationCare ManagementAthenaClinicals EHRPatient Education And Counseling
Utilzation Review
Utilzation Review
5 days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
Vice President, Utilization Management - Remote
Vice President, Utilization Management - Remote
18 days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementNursingCare 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 Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
22 days ago
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Integraal Ontwerpleider Bouw
Integraal Ontwerpleider Bouw
23 days ago
BESIX
- From: Netherlands (Full Remote)
- Full time
- Senior (5-10 years)
Architectural DesignProject ManagementConstruction
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
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 Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
3 days ago
Centene Corporation
- From: Georgia (USA) (Full Remote)
- Full time
- Entry-level / graduate
Clinical Data AnalysisRegulatory ComplianceMedical NecessityAuthentication Servers
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
Utilization Management Coordinator
Utilization Management Coordinator
15 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
- Mid-level (2-5 years)
Medical SoftwareUtilization ManagementICD 503
Case Manager RN (Remote)
Case Manager RN (Remote)
18 days ago
Health Plans Inc
- From: Maine (USA), Massachusetts (USA), New Hampshire (USA), Vermont (USA) (Full Remote)
- Full time
Discharge PlanningNursingCare ManagementUtilization Management
Behavioral Health Clinical Liaison
Behavioral Health Clinical Liaison
30+ days ago
Centene Corporation
- From: Washington (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementBehavioral HealthCare ManagementClinical Assessments
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
Clinical Appeals RN - Remote (M-F working alternating Saturdays)
Clinical Appeals RN - Remote (M-F working alternating Saturdays)
9 days ago
UnitedHealthcare
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
AppealsUtilization ManagementNurse Licensure CompactClinical Assessments
Associate Director, UM Nursing
Associate Director, UM Nursing
25 days ago
Humana
- From: Indiana (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementClinical Nursing
Quality Management Monitoring Specialist (Remote-NC)
Quality Management Monitoring Specialist (Remote-NC)
12 days ago
Partners Health Management
- From: North Carolina (USA) (Full Remote)
- Full time
AuditingCompliance ManagementContinuous MonitoringTotal Quality Management
Field Reimbursement Manager - Tzield -Northwest
Field Reimbursement Manager - Tzield -Northwest
30+ 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
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
Integrated Care Management Nurse or Clinician
Integrated Care Management Nurse or Clinician
19 days ago
Cambia Health Solutions
- From: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Nurse RegistryBehavioral HealthCare ManagementCare Management
Payment Integrity Analyst II
Payment Integrity Analyst II
30+ days ago
CERIS
- From: Texas (USA) (Full Remote)
- Full time
ICD Coding (ICD-9/ICD-10)Diagnosis-Related GroupClaims And Litigation Management
Unit Manager Behavioral Health Utilization Management
Unit Manager Behavioral Health Utilization Management
3 days ago
Health Care Service Corporation
- From: Texas (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical AssessmentsBehavioral HealthProject Management
US Registered Nurse
US Registered Nurse
10 days ago
Clark Outsourcing
- From: Philippines (Full Remote)
- Full time
- Mid-level (2-5 years)
Care CoordinationCare ManagementAthenaClinicals EHRPatient Evaluation
