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
497 jobs
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Board Certified(M.D, D.O) Lubbock, Texas ENT Reviewer
Board Certified(M.D, D.O) Lubbock, Texas ENT Reviewer
Just Now
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Full time
- Expert & Leadership (>10 years)
Utilization ManagementMedical NecessityClinical Consulting
Associate Medical Director, Cardiology
Associate Medical Director, Cardiology
Just Now
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Value-Based CareCardiologyClinical Consulting
Field Medical Director Vascular Surgery
Field Medical Director Vascular Surgery
Just Now
New Century Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementVascular MedicineMedical Necessity
Field Medical Director, MSK (Spine) Surgery
Field Medical Director, MSK (Spine) Surgery
Just Now
New Century Health
- From: United States (Full Remote)
- Part time
Spinal FusionUtilization ManagementMedical GuidelineClinical Data Analysis
Utilization Management Bed Manager
Utilization Management Bed Manager
Just Now
Centurion Health
- From: United States, Springfield (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementNursing
Board Certified Thoracic Surgery Physician Advisor, Disability Peer Review
Board Certified Thoracic Surgery Physician Advisor, Disability Peer Review
Just Now
Dane Street, LLC
- From: United States (Full Remote)
- Full time
Cardiothoracic SurgeryCardiac Surgery
Telephonic Nurse Case Manager II
Telephonic Nurse Case Manager II
1 day ago
Elevance Health
- From: Georgia (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care ManagementNurse Licensure CompactClinical Assessments
Intake Coordinator
Intake Coordinator
1 day ago
Intermountain Health
- From: United States (Full Remote)
- Full time
Organizational Structure
Physical Health Inpatient Clinical Care Reviewer II
Physical Health Inpatient Clinical Care Reviewer II
2 days ago
CareSource
- From: Nevada (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisDischarge PlanningUtilization ManagementCare Coordination
Clinical Reviewer, Nurse 9am 6pm PST
Clinical Reviewer, Nurse 9am 6pm PST
Today
Evolent Health
- From: United States (Full Remote)
- Full time
- Junior (1-2 years)
Utilization ManagementClinical InformaticsMedical ManagementPatient Education And Counseling
Physical Health RN Clinical Care Reviewer II
Physical Health RN Clinical Care Reviewer II
3 days ago
CareSource
- From: Nevada (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementNurse Registry
Utilization Review Nurse
Utilization Review Nurse
4 days ago
Sidecar Health
- From: Florida (USA), Georgia (USA), Kentucky (USA), Ohio (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementMilliman Care Guidelines (MCG)Clinical InformaticsMedical Necessity
Clinical Reviewer, Nurse 9am 6pm PST
Clinical Reviewer, Nurse 9am 6pm PST
1 day ago
New Century Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementClinical InformaticsMedical ManagementPatient Education And Counseling
Medical Case Manager II
Medical Case Manager II
3 days ago
CorVel Corporation
- From: South Carolina (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Case Management SystemsNursingCost Containment
Medical Case Manager I
Medical Case Manager I
4 days ago
CorVel Corporation
- From: Alabama (USA) (Full Remote)
- Full time
- Entry-level / graduate
Case Management SystemsNursingEducational Assessment
Bilingual Registered Nurse (NY/MA) - Remote
Bilingual Registered Nurse (NY/MA) - Remote
3 days ago
Vesta Healthcare
- From: Massachusetts (USA), New York (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementNursingChronic Care
Medical Director
Medical Director
3 days ago
Elevance Health
- From: Florida (USA), Georgia (USA), Indiana (USA), Kentucky (USA), Missouri (USA), Virginia (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Medical DirectionClinical AssessmentsUtilization Management
Care Manager – Behavioral Health
Care Manager – Behavioral Health
4 days ago
ICONMA
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementBehavioral HealthCrisis Intervention
Care Manager (UM/UR) - Remote, Idaho Licensed
Care Manager (UM/UR) - Remote, Idaho Licensed
4 days ago
Magellan Health
- From: Idaho (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementCrisis InterventionQuality Assessment
Medical Director
Medical Director
3 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementHealth Policy DevelopmentCare ManagementTotal Quality Management
Bilingual Medical Case Manager II
Bilingual Medical Case Manager II
4 days ago
CorVel Corporation
- From: Illinois (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Case Management SystemsNursingPatient Evaluation
RN IMedicaid, Care, Case and Disease Management
RN IMedicaid, Care, Case and Disease Management
3 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementNurse Licensure CompactClinical AssessmentsCare Management
Bilingual Registered Nurse (NY/Compact) - Remote
Bilingual Registered Nurse (NY/Compact) - Remote
3 days ago
Vesta Healthcare
- From: New York (USA) (Full Remote)
- Full time
Nurse Licensure CompactBiomedical InstrumentationChronic Care
Physician Reviewer - Neurological Surgery (Utilization Review) LA
Physician Reviewer - Neurological Surgery (Utilization Review) LA
9 days ago
Dane Street, LLC
- From: Louisiana (USA) (Full Remote)
- Fixed term
NeurosurgeryMedical Licensing (Health Law)
Medical Management Nurse
Medical Management Nurse
3 days ago
Elevance Health
- From: Florida (USA) (Full Remote)
- Full time
- Entry-level / graduate
Nursing EthicsCare ManagementClinical Assessments
Registered Nurse (RN) - Case Manager - PRN
Registered Nurse (RN) - Case Manager - PRN
4 days ago
Essentia Health
- From: North Dakota (USA) (Full Remote)
- Part time
- Entry-level / graduate
Care CoordinationUtilization ManagementEducational AssessmentDischarge Planning
Care Manager, Health Plan
Care Manager, Health Plan
9 days ago
Magellan Health
- From: California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Health Risk AssessmentsBehavioral HealthCare ManagementCrisis Intervention
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
9 days ago
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisMental Health AssessmentsSubstance Abuse AssessmentsPrior Authorization
USRN (Utilization Management)
USRN (Utilization Management)
10 days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
9 days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
- Entry-level / graduate
Clinical NursingMedical ManagementCompliance Management
Care Manager (UM/UR) - Remote, Idaho Licensed
Care Manager (UM/UR) - Remote, Idaho Licensed
3 days ago
Magellan Health
- From: Idaho (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementCrisis InterventionQuality Assessment
Medical Director
Medical Director
11 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 ManagementMedical ManagementCare ManagementClinical Consulting
Care Manager RN - (Remote)
Care Manager RN - (Remote)
12 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 ManagementCare ManagementAnalytics
Data Analyst II Medical Economics
Data Analyst II Medical Economics
9 days ago
Centene Corporation
- From: Florida (USA), Missouri (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
AnalyticsRoot Cause AnalysisSQL (Programming Language)Data Mining
Senior Analyst, Healthcare Analytics Consultant
Senior Analyst, Healthcare Analytics Consultant
2 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
SAS (Software)SQL (Programming Language)Data Visualization
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
4 days ago
Magellan Health
- From: Hawaii (USA) (Full Remote)
- Full time
Discharge PlanningUtilization ManagementPsychiatric TreatmentsCrisis Intervention
Behavioral Health Care Manager I - Virginia
Behavioral Health Care Manager I - Virginia
10 days ago
Elevance Health
- From: Virginia (USA) (Full Remote)
- Full time
Care ManagementBehavioral HealthPsychiatric TreatmentsUtilization Management
Clinical Pharmacist
Clinical Pharmacist
4 days ago
Elevance Health
- From: Georgia (USA), Indiana (USA), Kansas (USA), North Carolina (USA), Ohio (USA), Washington (USA) (Full Remote)
- Full time
Clinical Data AnalysisPharmaceutical MarketingHospital PharmacyPharmaceutical Sciences
Medical Director
Medical Director
11 days ago
Impresiv Health
- From: Oregon (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Evidence-Based PracticeUtilization ManagementInpatient CareMedical Necessity
Physician Reviewer, Medical Managment
Physician Reviewer, Medical Managment
10 days ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementAssessment And AuthorizationMedical ManagementCase Management Systems
Care Coordinator, LSW
Care Coordinator, LSW
13 days ago
Bluestone Physician Services
- From: Minnesota (USA) (Full Remote)
- Full time
- Entry-level / graduate
Care CoordinationCare ManagementEducational Assessment
Care Manager RN - (Remote)
Care Manager RN - (Remote)
11 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
Medical Biller (Remote) at Shuvel Digital
Medical Biller (Remote) at Shuvel Digital
4 days ago
Param Solutions
- From: New Jersey (USA) (Full Remote)
- Full time
Billing InquiriesClaims And Litigation Management
Group Health Medical Director
Group Health Medical Director
11 days ago
Dane Street, LLC
- From: Florida (USA) (Full Remote)
- Fixed term
- Senior (5-10 years)
Utilization ManagementClinical AuditingTotal Quality Management
Claims Quality Analyst, NY
Claims Quality Analyst, NY
9 days ago
Dane Street, LLC
- From: New York (USA) (Full Remote)
- Full time
Auditing
Senior Network Provider Relations
Senior Network Provider Relations
10 days ago
Mosaic Health
- From: California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Provider ModelClient EducationIssue ManagementContract Management
Care Manager, BH Remote PA
Care Manager, BH Remote PA
4 days ago
Magellan Health
- From: Pennsylvania (USA) (Full Remote)
- Full time
Discharge PlanningUtilization ManagementCrisis InterventionClinical Data Analysis
CISC Care Coordinator, Licensed
CISC Care Coordinator, Licensed
15 days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationCare PlanningClinical Assessments
Physician Reviewer- REMOTE
Physician Reviewer- REMOTE
11 days ago
Sierra Solutions Group
- From: Oklahoma (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Medical Record ManagementHealthcare Delivery ModelsClinical AssessmentsRegulatory Compliance
USRN (Utilization Review)
USRN (Utilization Review)
10 days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
