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
358 jobs
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Clinical Specialist
Clinical Specialist
5 day ago
MedImpact Healthcare Systems, Inc.
- Remote: California (USA)
- Full time
Clinical Data AnalysisPharmacy ExperiencePrior AuthorizationPharmaceuticals
Associate Director of Utilization Review 
Associate Director of Utilization Review
5 day ago
Compass Health Center
- Remote: Illinois (USA)
- Full time
Utilization ManagementBehavioral HealthPatient Education And Counseling
Intake Coordinator
Intake Coordinator
6 day ago
Highmark Health
- Remote: 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 time
Clinical Care Analyst
Clinical Care Analyst
5 day ago
Healthmap Solutions
- Remote: United States
- Full time
AnalyticsUtilization ManagementClinical Assessments
Medical Review Nurse II - Readmissions
Medical Review Nurse II - Readmissions
6 day ago
Performant Corp
- Remote: United States
- Full time
ICD Coding (ICD-9/ICD-10)CPT CodingClinical Auditing
Medical Review Nurse II - Readmissions
Medical Review Nurse II - Readmissions
6 day ago
Performant Corp
- Remote: United States
- Full time
ICD Coding (ICD-9/ICD-10)CPT CodingClinical Auditing
Registered Nurse
Registered Nurse
7 day ago
Greenlife Healthcare Staffing
- Remote: New York (USA)
- Freelance
Electronic Medical RecordClinical Consulting
Director of Substance Use Disorder
Director of Substance Use Disorder
9 day ago
Detroit Wayne Integrated Health Network
- Remote: Michigan (USA)
- Full time
Quality AssessmentSubstance Abuse PreventionGrant Applications
Behavioral Health Care Coordinator (Utilization Management)
Behavioral Health Care Coordinator (Utilization Management)
5 day ago
Health Care Service Corporation
- Remote: Illinois (USA), Montana (USA), New Mexico (USA), Oklahoma (USA), Texas (USA)
- Full time
Clinical Data AnalysisUtilization ManagementNursingBehavioral Health
RN Clinical Review Clinician - Appeals
RN Clinical Review Clinician - Appeals
4 day ago
Centene Corporation
- Remote: California (USA)
- Full time
Clinical Data AnalysisUtilization ManagementNurse Licensure CompactAppeals
Vendor Audit and Compliance Specialist
Vendor Audit and Compliance Specialist
8 day ago
Cambia Health Solutions
- Remote: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA)
- Full time
Technical AuditCompliance ManagementAnalyticsProject Management
Telephonic Medical Case Management (Workers' compensation)
Telephonic Medical Case Management (Workers' compensation)
3 day ago
TRISTAR Insurance Group
- Remote: South Carolina (USA)
- Full time
Care CoordinationCare ManagementUtilization ManagementClinical Assessments
RN Senior Medical Reviewer - CGS
RN Senior Medical Reviewer - CGS
1 day ago
CGS Administrators, LLC
- Remote: South Carolina (USA), Tennessee (USA)
- Full time
Clinical AssessmentsUtilization ManagementClinical AssessmentsCare Management
RN-Utilization Review
RN-Utilization Review
5 day ago
Ascension
- Remote: Texas (USA)
- Full time
Utilization ManagementCompliance ManagementCare ManagementMedical Necessity
RN Senior Medical Reviewer - CGS
RN Senior Medical Reviewer - CGS
1 day ago
BlueCross BlueShield of South Carolina
- Remote: South Carolina (USA), Tennessee (USA)
- Full time
Utilization ManagementClinical AssessmentsCare Management
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
8 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
AppealsInterQual CriteriaMedical Necessity
Transitions of Care - RN
Transitions of Care - RN
11 day ago
Elevance Health
- Remote: Tennessee (USA)
- Full time
Patient Education And CounselingNurse Licensure CompactHealth And Wellness CoachingMotivational Interviewing
Oracle Utilities MDM Consultant
Oracle Utilities MDM Consultant
12 day ago
Talpro - Leaders in Technology Hiring
- Remote: India
- Full time
Oracle Application Framework (OAF)Java (Programming Language)IBM InfoSphere MDM
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
3 day ago
Centene Corporation
- Remote: Alabama (USA), Florida (USA), Georgia (USA), North Carolina (USA)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Family Practice Telecommute Medical Review
Family Practice Telecommute Medical Review
5 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Credential ManagerUtilization ManagementClinical AssessmentsClinical Assessments
Medical Director
Medical Director
3 day ago
Impresiv Health
- Remote: Arizona (USA)
- Part time
PsychiatryBehavioral HealthMedical ManagementClinical Auditing
Clinical Coding and OASIS Review Manager
Clinical Coding and OASIS Review Manager
12 day ago
BAYADA Home Health Care
- Remote: Texas (USA)
- Full time
ICD 503
Remote Medical Director - California
Remote Medical Director - California
5 day ago
Centene Corporation
- Remote: California (USA)
- Full time
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Spine Telecommute Medical Review Stream Physician
Spine Telecommute Medical Review Stream Physician
5 day ago
Concentra
- Remote: New Mexico (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
10 day ago
Gainwell Technologies LLC
- Remote: Maine (USA)
- Full time
Utilization ManagementInterQual CriteriaMedical NecessityClinical Documentation
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
12 day ago
Magellan Health
- Remote: Hawaii (USA)
- Full time
Mental Health And Recovery ServicesUtilization ManagementCrisis InterventionAddiction Counseling
Clinical Coding and OASIS Review Manager
Clinical Coding and OASIS Review Manager
12 day ago
BAYADA Home Health Care
- Remote: Florida (USA)
- Full time
ICD 503
Utilization Review/Appeals Clinician - ABA
Utilization Review/Appeals Clinician - ABA
11 day ago
Centene Corporation
- Remote: Florida (USA)
- Full time
Utilization ManagementBehavioral HealthClinical AssessmentsApplied Behavior Analysis
Customer Success Manager
Customer Success Manager
7 day ago
Login VSI
- Remote: Georgia (USA)
- Full time
Product Adoption StrategiesProject ManagementRisk ManagementCustomer Engagement
Utilization Management Nurse
Utilization Management Nurse
3 day ago
Cambia Health Solutions
- Remote: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA)
- Full time
Establishment LicensingUtilization ManagementCare ManagementClinical Consulting
Behavioral Health Utilization Management Review
Behavioral Health Utilization Management Review
5 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Utilization ManagementBehavioral HealthClinical AssessmentsMedical Necessity
RN Appeals Analyst
RN Appeals Analyst
11 day ago
BlueCross BlueShield of South Carolina
- Remote: Tennessee (USA)
- Full time
Clinical Data AnalysisUtilization ManagementManaged CareMedical Necessity
Emergency Medicine Telecommute Medical Review Stream Physician
Emergency Medicine Telecommute Medical Review Stream Physician
5 day ago
Concentra
- Remote: Texas (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Behavioral Health Care Manager II
Behavioral Health Care Manager II
4 day ago
Elevance Health
- Remote: New York (USA)
- Full time
Psychiatric AssessmentsCare ManagementBehavioral HealthUtilization Management
Clinical Integration Liaison - Licensed/Remote in CA
Clinical Integration Liaison - Licensed/Remote in CA
19 day ago
Magellan Health
- Remote: California (USA)
- Full time
Clinical Data ExchangeUtilization ManagementProject ManagementMental Health Education
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- Remote: United Kingdom
- Senior (5-10 years)
- 81 - 113K
Medical Management
Psychologist Reviewer
Psychologist Reviewer
3 day ago
Centene Corporation
- Remote: Arizona (USA)
- Part time
Evidence-Based PracticeBehavioral HealthAdvanced AnalyticsPsychometrics
Part Time Care Manager, BH - After Hours
Part Time Care Manager, BH - After Hours
4 day ago
Magellan Health
- Remote: Missouri (USA)
- Part time
Utilization ManagementMental HealthAddiction Treatment
National Medical Director
National Medical Director
30+ days ago
CorVel Corporation
- Remote: Virginia (USA)
- Part time
- Expert & Leadership (>10 years)
Regulatory ComplianceUtilization Management
Lead Care Manager, Autism - PA
Lead Care Manager, Autism - PA
5 day ago
Magellan Health
- Remote: Pennsylvania (USA)
- Full time
Utilization ManagementMedical Licensing (Health Law)Applied Behavior Analysis
Career Opportunities: RN Clinical Systems Trainer (24916)
Career Opportunities: RN Clinical Systems Trainer (24916)
11 day ago
CareOregon
- Remote: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA)
- Full time
Nurse RegistryMedical GuidelineEmployee OnboardingInterQual Criteria
Utilization Reviewer
Utilization Reviewer
4 day ago
Genex Services
- Remote: Pennsylvania (USA)
- Full time
Nurse Licensure CompactClinical AssessmentsMedical Abbreviations
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
5 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementLanguage InterpretationMedical Licensing (Health Law)
UR Specialist: Remote must be in MST or PST
UR Specialist: Remote must be in MST or PST
4 day ago
Alsana
- Remote: California (USA)
- Full time
Utilization ManagementPatient Progress NotesMedical Necessity
Field Medical Director, Radiology (Endocrinology)
Field Medical Director, Radiology (Endocrinology)
7 day ago
New Century Health
- Remote: United States
- Full time
Utilization ManagementClinical AssessmentsClinical Assessments
Family Practice Telecommute Medical Review
Family Practice Telecommute Medical Review
5 day ago
Concentra
- Remote: Illinois (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Senior Sales Reporting Analyst
Senior Sales Reporting Analyst
4 day ago
Labcorp
- Remote: Georgia (USA), Maryland (USA), North Carolina (USA), South Carolina (USA), Tennessee (USA)
- Full time
Financial AnalysisAnalyticsSalesforceTableau (Business Intelligence Software)
Behavioral Health Case Management Coordinator (Case Management)
Behavioral Health Case Management Coordinator (Case Management)
5 day ago
Health Care Service Corporation
- Remote: Illinois (USA), Oklahoma (USA), Texas (USA)
- Full time
Utilization ManagementNursingBehavioral HealthMedical Licensing (Health Law)
UM Coordinator - LHB
UM Coordinator - LHB
4 day ago
Health Care Service Corporation
- Remote: Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA), Missouri (USA), Montana (USA), New Mexico (USA), North Carolina (USA), Oklahoma (USA), Pennsylvania (USA), Texas (USA), Wisconsin (USA)
- Full time
Utilization ManagementClinical NursingMedical ManagementCare Management
Registered Nurse-Access Care- UMC-Remote Work-36 Hours-Midnights-Detroit
Registered Nurse-Access Care- UMC-Remote Work-36 Hours-Midnights-Detroit
30+ days ago
Henry Ford Health
- Remote: Michigan (USA)
- Full time
Utilization ManagementNursingCare ManagementClinical Assessments
