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
524 jobs
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Utilization Management Nurse Lead
Utilization Management Nurse Lead
9 days ago
Humana
- From: Michigan (USA) (Full Remote)
- Full time
Medical Case Manager I
Medical Case Manager I
1 day ago
CorVel Corporation
- From: Maryland (USA) (Full Remote)
- Full time
- Entry-level / graduate
- 62 - 62K
Case Management SystemsNursing
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
9 days ago
Centene Corporation
- From: Illinois (USA) (Full Remote)
- Full time
RN Case Manager - New York
RN Case Manager - New York
4 days ago
ConcertoCare
- From: New York (USA) (Full Remote)
- Full time
- Senior (5-10 years)
- 85 - 85K
Care CoordinationCare ManagementNurse Licensure CompactPatient Education And Counseling
Medical Director (REMOTE Appeals Medical Director – Eastern Standard Time (EST) Main Work Hours, Managed Care Experience/Appeals Experience Preferred)
Medical Director (REMOTE Appeals Medical Director – Eastern Standard Time (EST) Main Work Hours, Managed Care Experience/Appeals Experience Preferred)
4 days ago
CareSource
- From: Ohio (USA) (Full Remote)
- Full time
- 191 - 191K
Clinical AssessmentsManaged CareClinical Consulting
Clinical Care Reviewer II -RN - BH - MSL
Clinical Care Reviewer II -RN - BH - MSL
4 days ago
CareSource
- From: Ohio (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 61 - 61K
Care CoordinationUtilization ManagementNursingBehavioral Health
Clinical Review Clinician - Appeals
Clinical Review Clinician - Appeals
9 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Primary Therapist
Primary Therapist
4 days ago
Staffosaurus
- From: New Jersey (USA) (Full Remote)
- Part time
- Mid-level (2-5 years)
- 41 - 41K
Client ServicesTreatment PlanningGroup TherapyTreatment Planning
Clinical Specialist
Clinical Specialist
11 days ago
MedImpact Healthcare Systems, Inc.
- From: California (USA) (Full Remote)
- Full time
Supv, Clinical Appeals
Supv, Clinical Appeals
4 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 86 - 86K
Utilization ManagementRegulatory ComplianceCare ManagementCare Management
Supervisor, Utilization Management- Remote in VA!
Supervisor, Utilization Management- Remote in VA!
4 days ago
Sentara Healthcare
- From: Virginia (USA) (Full Remote)
- Full time
- Junior (1-2 years)
- 0 - 0K
Utilization ManagementCare Management
Clinical Reviewer II - RN - TRICARE
Clinical Reviewer II - RN - TRICARE
4 days ago
CareSource
- From: Ohio (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 61 - 61K
Care CoordinationNurse RegistryDischarge PlanningUtilization Management
Medical Director (US)
Medical Director (US)
4 days ago
Elevance Health
- From: California (USA), Colorado (USA), Connecticut (USA), Nevada (USA), Washington (USA) (Full Remote)
- Full time
- Senior (5-10 years)
- 226 - 226K
Clinical Assessments
Utilization Review Nurse
Utilization Review Nurse
4 days ago
Silver Cross Hospital
- From: Illinois (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 72 - 72K
Utilization ManagementClinical Assessments
UR Intake Specialist
UR Intake Specialist
5 days ago
CorVel Corporation
- From: California (USA) (Full Remote)
- Full time
- 0 - 0K
Remote Medical Director- New York
Remote Medical Director- New York
13 days ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
RN I
RN I
4 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Entry-level / graduate
- 69 - 69K
Care ManagementUtilization ManagementNurse Licensure CompactClinical Assessments
Clinical Care Reviewer II - RN - MSL
Clinical Care Reviewer II - RN - MSL
4 days ago
CareSource
- From: Ohio (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 61 - 61K
Clinical Data AnalysisDischarge PlanningUtilization ManagementCare Coordination
RN Case Manager - California
RN Case Manager - California
7 days ago
ConcertoCare
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
- 90 - 90K
Care ManagementNurse Licensure Compact
Provider Engagement Account Manager
Provider Engagement Account Manager
4 days ago
Centene Corporation
- From: Texas (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 55 - 55K
Provider ModelData MiningPerformance ManagementAccount Management
Utilization Review Nurse
Utilization Review Nurse
7 days ago
Sidecar Health
- From: Florida (USA), Georgia (USA), Kentucky (USA), Ohio (USA) (Full Remote)
- Full time
- Senior (5-10 years)
- 82 - 82K
Utilization ManagementMilliman Care Guidelines (MCG)Clinical InformaticsMedical Necessity
Medical Director
Medical Director
4 days ago
CareSource
- From: Ohio (USA) (Full Remote)
- Full time
- 191 - 191K
Clinical Data AnalysisMedical DirectionManaged Care
Clincial Consultant
Clincial Consultant
3 days ago
RxSense
- From: Florida (USA), Massachusetts (USA), New Jersey (USA), New York (USA) (Full Remote)
- Full time
- 125 - 125K
Utilization ManagementPharmacy Benefit ManagementHealthcare Strategy
ONCOLOGY CASE MANAGER (REMOTE)
ONCOLOGY CASE MANAGER (REMOTE)
10 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
Non-Clinical Coding and OASIS Review Manager
Non-Clinical Coding and OASIS Review Manager
6 days ago
BAYADA Home Health Care
- From: Texas (USA) (Full Remote)
- Full time
- 62 - 62K
MOQ (Software)
RN UM
RN UM
5 days ago
Rapinno Health Care
- From: Massachusetts (USA) (Full Remote)
- Full time
Supervisor, Utilization Management
Supervisor, Utilization Management
4 days ago
Centene Corporation
- From: Ohio (USA) (Full Remote)
- Full time
- Senior (5-10 years)
- 73 - 73K
Clinical Data AnalysisUtilization ManagementPrior Authorization
Care Manager, Health Plan - Licensed/Remote in CA
Care Manager, Health Plan - Licensed/Remote in CA
4 days ago
Magellan Health
- From: California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
- 64 - 64K
Health Risk AssessmentsBehavioral HealthCare ManagementCrisis Intervention
QI Nurse Coordinator-Health Plan
QI Nurse Coordinator-Health Plan
4 days ago
Cook Children's Health Care System
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementCare ManagementQuality Assessment
Transition Coordinator II (Full-Time Remote, Cumberland County North Carolina Based)
Transition Coordinator II (Full-Time Remote, Cumberland County North Carolina Based)
7 days ago
Alliance Health
- From: North Carolina (USA) (Full Remote)
- Full time
- 68 - 68K
Discharge PlanningCare ManagementRisk ManagementClinical Documentation
Senior Care Manager (RN)
Senior Care Manager (RN)
18 days ago
Centene Corporation
- From: Illinois (USA) (Full Remote)
- Full time
Supervisor, Integrated Care Management for Private Duty Nurse/Ventilator Team- Remote in VA!
Supervisor, Integrated Care Management for Private Duty Nurse/Ventilator Team- Remote in VA!
17 days ago
Sentara Healthcare
- From: Virginia (USA) (Full Remote)
- Full time
Bilingual Telephonic UM Coordinator
Bilingual Telephonic UM Coordinator
12 days ago
Humana
- From: Connecticut (USA), Delaware (USA), Florida (USA), Georgia (USA), Indiana (USA), Kentucky (USA), Massachusetts (USA), New Hampshire (USA), New Jersey (USA), New York (USA), North Carolina (USA), Ohio (USA), Pennsylvania (USA), Rhode Island (USA), South Carolina (USA) (Full Remote)
- Full time
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
19 days ago
Centene Corporation
- From: Arizona (USA) (Full Remote)
- Full time
Oncology Prior Authorization Case Manager, Non-RN - Remote
Oncology Prior Authorization Case Manager, Non-RN - Remote
4 days ago
University of Miami
- From: Florida (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementMedical GuidelinePrior AuthorizationPatient Education And Counseling
Telephonic Nurse Case Manager Senior
Telephonic Nurse Case Manager Senior
16 days ago
Elevance Health
- From: Colorado (USA), Georgia (USA), Indiana (USA), Missouri (USA), Texas (USA), Virginia (USA) (Full Remote)
- Full time
Remote Nephrology Utilization Review Contract (1099)
Remote Nephrology Utilization Review Contract (1099)
9 days ago
Medical Review Institute
- From: United States, Dallas (Full Remote)
- Full time
Provider Engagement Account Manager
Provider Engagement Account Manager
22 days ago
Centene Corporation
- From: Georgia (USA) (Full Remote)
- Full time
Assistant Nurse Manager-Case Management Full Time 40 hours
Assistant Nurse Manager-Case Management Full Time 40 hours
6 days ago
Bristol Hospital and Health Care Group, Inc.
- From: Connecticut (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care ManagementNursingDischarge PlanningUtilization Management
Clinical Operations Director
Clinical Operations Director
4 days ago
TapTalent.ai
- From: Philippines (Full Remote)
- Full time
- Senior (5-10 years)
General SurgeryRegulatory Compliance
Medical Case Manager
Medical Case Manager
3 days ago
CorVel Corporation
- From: South Dakota (USA) (Full Remote)
- Full time
- Entry-level / graduate
- 62 - 62K
Case Management SystemsNursingWorkers' CompensationPatient Evaluation
Texas Licensed Physician Reviewer Occupational Medicine
Texas Licensed Physician Reviewer Occupational Medicine
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Fixed term
Occupational MedicineMedical Licensing (Health Law)
Utilization Management Administration Coordinator
Utilization Management Administration Coordinator
4 days ago
Humana
- From: Kentucky (USA) (Full Remote)
- Full time
- 40 - 40K
Utilization ManagementElectronic Medical RecordHelp Desk Support
Data Analyst IV Medical Economics
Data Analyst IV Medical Economics
15 days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
Physician Reviewer Orthopedic Surgery (Utilization Review)
Physician Reviewer Orthopedic Surgery (Utilization Review)
7 days ago
Dane Street, LLC
- From: New York (USA) (Full Remote)
- Fixed term
Orthopedics
HIM Clinical Documentation Specialist, PRN
HIM Clinical Documentation Specialist, PRN
7 days ago
University of Maryland Medical System
- From: Maryland (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 0 - 0K
Coding TheoryICD 503Clinical Documentation
Field Medical Director - Vascular Surgery
Field Medical Director - Vascular Surgery
1 day ago
New Century Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementVascular Medicine
Provider Engagement Account Manager
Provider Engagement Account Manager
4 days ago
Centene Corporation
- From: Louisiana (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 55 - 55K
Provider ModelData MiningPerformance ManagementAccount Management
Utilization Management Clinician I (RN)
Utilization Management Clinician I (RN)
7 days ago
Community Health Plan of Washington
- From: Washington (USA) (Full Remote)
- Full time
- Entry-level / graduate
Care CoordinationUtilization ManagementMedical Guideline
RN Case Manager/PEDS (100% Remote)
RN Case Manager/PEDS (100% Remote)
23 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
