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
335 jobs
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Utilization Management Coordinator - OK
Utilization Management Coordinator - OK
1 day ago
Health Care Service Corporation
- Remote: Oklahoma (USA)
- Full time
Utilization ManagementNursingClinical AssessmentsMedical AbbreviationsData CollectionOnline Communication
Medical Case Manager - Knox County
Medical Case Manager - Knox County
1 day ago
BlueCross BlueShield of Tennessee
- Remote: Tennessee (USA)
- Full time
Clinical AssessmentsNurse RegistryCare ManagementDevelopmental DisabilitiesCare CoordinationEmail Software
Client Solutions Manager- CM & UM
Client Solutions Manager- CM & UM
1 day ago
Abacus Insights
- Remote: United States
- Full time
Utilization ManagementCare ManagementHealthcare AnalyticsCustomer Requirements AnalysisMRO SoftwareUser Acceptance Testing (UAT)
Payment Integrity Clinician - (Remote)
Payment Integrity Clinician - (Remote)
2 day ago
Highmark Health
- Remote: Pennsylvania (USA)
- Full time
Coding TheoryInsurance ReviewsClinical AssessmentsAnalyticsClient EducationMedical Record Management
Director, Utilization Management
Director, Utilization Management
3 day ago
Centene Corporation
- Remote: Ohio (USA)
- Full time
Performance ImprovementUtilization ManagementBudget ManagementPolicy DevelopmentAnalyticsRegulatory Compliance
Medical Director - Florida
Medical Director - Florida
1 day ago
Humana
- Remote: United States
- Full time
Utilization ManagementTreatment PlanningHome Health CareDischarge PlanningMedical GuidelineManaged Care
Clinical Admissions Therapist (Michigan)
Clinical Admissions Therapist (Michigan)
1 day ago
Charlie Health
- Remote: United States
- Full time
TelehealthBehavioral HealthMental Health AssessmentsUtilization ManagementPsychosocial AssessmentsElectronic Medical Record
Customer Success Director
Customer Success Director
2 day ago
Medical Review Institute
- Remote: Utah (USA)
- Full time
Account ManagementCustomer Success ManagementSalesforceZoom (Video Conferencing Tool)LinkedIn RecruiterManaged Care
Sr. Clinical Quality Program Manager
Sr. Clinical Quality Program Manager
1 day ago
WellSky
- Remote: United States
- Full time
Utilization ManagementRegulatory ComplianceAnalyticsClinical Quality ManagementPerformance ImprovementHealthcare Quality
Medical Director--Claims Management
Medical Director--Claims Management
1 day ago
Humana
- Remote: United States
- Full time
Clinical Data AnalysisLanguage InterpretationRegulatory ComplianceUtilization ManagementMedical Licensing (Health Law)Utilization Management
Behavioral Health Care Manager II (UM)
Behavioral Health Care Manager II (UM)
5 day ago
Elevance Health
- Remote: Indiana (USA)
- Full time
Utilization ManagementBehavioral HealthCare ManagementClinical AssessmentsAddiction TreatmentPsychiatric Treatments
Utilization Review Specialist - Remote IA, MN, ND, SD, WI
Utilization Review Specialist - Remote IA, MN, ND, SD, WI
5 day ago
Sanford Health
- Remote: Iowa (USA), Minnesota (USA), North Dakota (USA), South Dakota (USA), Wisconsin (USA)
- Full time
AppealsUtilization ManagementEpic EMRCerner EHRCPT CodingICD Coding (ICD-9/ICD-10)
Mental Health Counselor (LMFT,LPCC,LCSW)
Mental Health Counselor (LMFT,LPCC,LCSW)
4 day ago
Gotham Enterprises Ltd
- Remote: California (USA)
- Full time
- Entry-level / graduate
iKnowMed EHRAddiction TreatmentMental Health CounselingClinical DocumentationUtilization ManagementCommunication Software
Intake Coordinator
Intake Coordinator
2 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
Utilization ManagementData EntryHealth Care IndustryTeleconferencingAdministrative Law
Utilization Management Coordinator - OK
Utilization Management Coordinator - OK
2 day ago
Health Care Service Corporation
- Remote: Oklahoma (USA)
- Full time
Utilization ManagementNursingClinical AssessmentsMedical AbbreviationsOnline Communication
Utilization Management Nurse
Utilization Management Nurse
2 day ago
Cambia Health Solutions
- Remote: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA)
- Full time
Utilization ManagementChronic CareCare ManagementHealthcare Industry KnowledgeNurse Licensure CompactRetrospective Reviews
RN Clinical Grievance Analyst
RN Clinical Grievance Analyst
5 day ago
Strategic Staffing Solutions
- Remote: Michigan (USA)
- Freelance
Grievance ArbitrationClinical DocumentationMedical AbbreviationsE-MDs (EMR/EHR System)InterQual CriteriaMedicare Advantage
Physician Reviewer, Medical Managment
Physician Reviewer, Medical Managment
2 day ago
AltaMed Health Services
- Remote: California (USA)
- Full time
Authorization (Computing)Utilization ManagementMedical ManagementCase Management SystemsCare Coordination
Telephonic Nurse Case Manager II
Telephonic Nurse Case Manager II
5 day ago
Elevance Health
- Remote: Florida (USA), Georgia (USA), Indiana (USA), Kentucky (USA), New Jersey (USA), Ohio (USA), Virginia (USA)
- Full time
Nurse Licensure CompactCare ManagementClinical AssessmentsCare PlanningEducational AssessmentUtilization Management
Telecommute Medical Review Stream Physician
Telecommute Medical Review Stream Physician
13 day ago
Concentra
- Remote: New Mexico (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Business NegotiationAnesthesiologyNeurosurgery
RN I
RN I
3 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Utilization ManagementNurse Licensure CompactClinical AssessmentsCare ManagementClient EducationOnline Communication
Utilization Review Nurse
Utilization Review Nurse
16 day ago
Sidecar Health
- Remote: Florida (USA), Georgia (USA), Kentucky (USA), Ohio (USA)
- Full time
Utilization ManagementMedical GuidelineNursingMedical NecessityOnline CommunicationPrior Authorization
Case Manager, RN (Remote)
Case Manager, RN (Remote)
11 day ago
Health Plans Inc
- Remote: Massachusetts (USA), New Hampshire (USA), Vermont (USA)
- Full time
Care ManagementNursingUtilization ManagementBehavioral HealthPatient Education And CounselingClinical Assessments
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- Remote: United Kingdom
- Senior (5-10 years)
- 81 - 113K
Medical ManagementMedicaid Management Information Systems (MMIS)Recruitment StrategiesUtilization ManagementInterQual CriteriaOrganizational Structure
Utilization Management Nurse (MLTC Focus) - Remote
Utilization Management Nurse (MLTC Focus) - Remote
14 day ago
Morgan Stephens
- Remote: New York (USA)
- Part time
Clinical Data AnalysisUtilization ManagementMedicaidNurse Licensure CompactCare ManagementLead Time Reduction
Clinical Facilitator, RN or SW
Clinical Facilitator, RN or SW
14 day ago
Healthfirst
- Remote: New York (USA)
- Full time
Support EngineeringAdult Learning PrinciplesClinical PracticesCurriculum DevelopmentOnline CommunicationEvidence-Based Practice
National Medical Director
National Medical Director
30+ days ago
CorVel Corporation
- Remote: Virginia (USA)
- Part time
- Expert & Leadership (>10 years)
Regulatory ComplianceUtilization ManagementOnline CommunicationCPT CodingProject CollaborationClinical Documentation
Virtual Primary Therapist (West Coast - OR)
Virtual Primary Therapist (West Coast - OR)
9 day ago
Monte Nido
- Remote: Oregon (USA)
- Full time
Group TherapyFamily TherapyDischarge PlanningNutrition InterventionEmotional DisordersUtilization Management
Oncology Case Manager, RN (Remote)
Oncology Case Manager, RN (Remote)
9 day ago
Health Plans Inc
- Remote: Massachusetts (USA), New Hampshire (USA), Vermont (USA)
- Full time
Care CoordinationUtilization ManagementOncologyNurse RegistryCommunity DevelopmentClinical Assessments
Sr Customer Marketing Manager
Sr Customer Marketing Manager
5 day ago
Cribl
- Remote: Canada
- Full time
Data MiningCustomer MarketingDigital MarketingSalesforceBudget ManagementTransportation Management
Healthcare Data Entry! UR Index Intake Coordinator - REMOTE! Mon- Fri 10am - 7pm PST
Healthcare Data Entry! UR Index Intake Coordinator - REMOTE! Mon- Fri 10am - 7pm PST
11 day ago
EK Health Services Inc.
- Remote: Idaho (USA)
- Full time
Case Management SystemsData EntryUtilization ManagementLaser ScanningMedical AbbreviationsOrganizational Structure
Utilization Management LTSS Registered Nurse
Utilization Management LTSS Registered Nurse
5 day ago
Humana
- Remote: Kentucky (USA), Maryland (USA), North Carolina (USA), Tennessee (USA), West Virginia (USA)
- Full time
Utilization ManagementNurse Licensure CompactClinical NursingInternal DocumentationHome Health CareDischarge Planning
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
USRN
USRN
30+ days ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
- Junior (1-2 years)
Utilization ManagementWorkers' Compensation Claims
Registered Nurse
Registered Nurse
30+ days ago
US Tech Solutions
- Remote: Louisiana (USA)
- Full time
- Mid-level (2-5 years)
Utilization ManagementPrior Authorization
Utilization Management Coordinator (Remote)
Utilization Management Coordinator (Remote)
28 day ago
LEARN Behavioral
- Remote: Wisconsin (USA)
- Full time
Utilization ManagementBehavioral HealthMedical Error ReportingData EntryContract ManagementApplied Behavior Analysis
Licensed Vocational Nurse
Licensed Vocational Nurse
30+ days ago
US Tech Solutions
- Remote: Georgia (USA)
- Full time
- Mid-level (2-5 years)
Utilization ManagementPrior Authorization
Healthcare Data Entry! UR Index Intake Coordinator - REMOTE! Mon- Fri 8:30am - 5:30pm PST
Healthcare Data Entry! UR Index Intake Coordinator - REMOTE! Mon- Fri 8:30am - 5:30pm PST
11 day ago
EK Health Services Inc.
- Remote: Arizona (USA)
- Full time
Case Management SystemsData EntryUtilization ManagementEmail SoftwareMedical AbbreviationsCategory Management
USRN (Utilization Review)
USRN (Utilization Review)
30+ days ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
- Junior (1-2 years)
Utilization ManagementMedical Insurance ClaimsMedical Record Management
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Medical Director Utilization Management Oncology: Remote 
Medical Director Utilization Management Oncology: Remote
11 day ago
The Oncology Institute
- Remote: California (USA)
- Full time
OncologyClinical InformaticsUtilization ManagementOncologyMedical DirectionTreatment Planning
Team Leader Central Management Unit (Remote) 2025-1406
Team Leader Central Management Unit (Remote) 2025-1406
22 day ago
Sedgwick Government Solutions
- Remote: South Carolina (USA)
- Full time
Care ManagementPerformance ManagementMedical AbbreviationsWorkers' CompensationUtilization ManagementElectronic Medical Record
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Medical Field Case Manager
Medical Field Case Manager
25 day ago
Genex Services
- Remote: Indiana (USA)
- Full time
Care ManagementTreatment PlanningPatient Education And CounselingWorkers' CompensationHuman Musculoskeletal SystemClinical Practices
Clinical Operations Director
Clinical Operations Director
30+ days ago
TapTalent.ai
- Remote: Philippines
- Full time
- Mid-level (2-5 years)
Regulatory CompliancePerformance MetricUtilization ManagementProject ManagementGeneral SurgeryAnalytics
System Physician Advisor
System Physician Advisor
23 day ago
CommonSpirit Health
- Remote: Texas (USA)
- Full time
Utilization ManagementRegulatory ComplianceICD 503Clinical DocumentationClinical PracticesPeer Review
Neurologist Medical Review Stream
Neurologist Medical Review Stream
13 day ago
Concentra
- Remote: California (USA)
- Full time
NeurologyUtilization ManagementLanguage InterpretationManaged CareBusiness Negotiation
Telecommute Medical Review Stream Physician
Telecommute Medical Review Stream Physician
13 day ago
Concentra
- Remote: Louisiana (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Plastic SurgeryRehabilitationPhysical Medicine And Rehabilitation
Medical Field Case Manager
Medical Field Case Manager
18 day ago
Genex Services
- Remote: Connecticut (USA)
- Full time
Nurse RegistryWorkers' CompensationBasic Patient CareCare ManagementHome Health CareRehabilitation
Market Physician Executive - Nashville, TN
Market Physician Executive - Nashville, TN
30+ days ago
Monogram Health
- Remote: Tennessee (USA)
- Full time
Clinical GovernanceEvidence-Based PracticeBasic Patient CarePublic HealthMedical Licensing (Health Law)Managed Care
