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
348 jobs
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Utilization Management Clinician - Behavioral Health
Utilization Management Clinician - Behavioral Health
5 day ago
Capital Blue Cross
- Remote: Pennsylvania (USA)
- Full time
Clinical Data AnalysisInterQual CriteriaBehavioral HealthMedical NecessityICD 503Regulatory Compliance
Senior Business Analyst
Senior Business Analyst
29 day ago
Samaritan Health Services
- Remote: Oregon (USA)
- Full time
Database DesignSQL (Programming Language)Business AnalysisProject ManagementData ManagementUser Acceptance Testing (UAT)
Telecommute Medical Review Stream Physician
Telecommute Medical Review Stream Physician
15 day ago
Concentra
- Remote: Louisiana (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Plastic SurgeryRehabilitationPhysical Medicine And Rehabilitation
Intake Coordinator
Intake Coordinator
4 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
Market Physician Executive (MPE) - Phoenix, AZ
Market Physician Executive (MPE) - Phoenix, AZ
30+ days ago
Monogram Health
- Remote: Arizona (USA)
- Full time
Evidence-Based PracticeMedical GuidelinePublic HealthOutcomes ResearchRehabilitationHEDIS (Healthcare Effectiveness Data And Information Set)
Utilization Management Coordinator - OK
Utilization Management Coordinator - OK
4 day ago
Health Care Service Corporation
- Remote: Oklahoma (USA)
- Full time
Utilization ManagementNursingClinical AssessmentsMedical AbbreviationsOnline Communication
Care Management Associate I (Appeals)
Care Management Associate I (Appeals)
16 day ago
NYC Health + Hospitals
- Remote: New York (USA)
- Full time
ICD 503CppunitMedical AbbreviationsAppealsUtilization ManagementData Entry
Utilization Management Nurse
Utilization Management Nurse
4 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
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Spain
- Full time
- Junior (1-2 years)
- 68 - 80K
Workers' CompensationClinical PracticesTreatment PlanningInjury PreventionNursingRehabilitation
Primary Therapist - Virtual - (East Coast - NY license)
Primary Therapist - Virtual - (East Coast - NY license)
11 day ago
Monte Nido
- Remote: New York (USA)
- Full time
Group TherapyFamily TherapyEating Disorder TreatmentUtilization ManagementDischarge PlanningNutrition Intervention
Sr Utilization Management
Sr Utilization Management
30+ days ago
Saviance Technologies Pvt. Ltd.
- Remote: Suriname
- Full time
- Senior (5-10 years)
Basic Patient CareMedicaidOrganizational StructureUtilization ManagementICD Coding (ICD-9/ICD-10)Online Communication
Market Physician Executive - California
Market Physician Executive - California
30+ days ago
Monogram Health
- Remote: California (USA)
- Full time
Evidence-Based PracticeMedical GuidelinePublic HealthRenal FunctionMedicaidMedicare
VP, Clinical Operations
VP, Clinical Operations
14 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
General SurgeryMedical ManagementPolicy DevelopmentPublic HealthUtilization ManagementCare Management
HRSN Specialist RN I
HRSN Specialist RN I
7 day ago
Samaritan Health Services
- Remote: Arizona (USA), Arkansas (USA), Connecticut (USA), Florida (USA), Georgia (USA), Idaho (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Michigan (USA), Mississippi (USA), Missouri (USA), Montana (USA)
- Full time
MedicaidClinical NursingMedical AbbreviationsHealthcare Delivery ModelsDigital File ManagementICD Coding (ICD-9/ICD-10)
Physician Reviewer, Medical Managment
Physician Reviewer, Medical Managment
4 day ago
AltaMed Health Services
- Remote: California (USA)
- Full time
Authorization (Computing)Utilization ManagementMedical ManagementCase Management SystemsCare Coordination
Primary Therapist - Virtual (PST/MST)
Primary Therapist - Virtual (PST/MST)
3 day ago
Monte Nido & Affiliates
- Remote: United States
- Freelance
Eating Disorder TreatmentLife Skills DevelopmentGroup TherapyCounseling TechniquesDischarge PlanningUtilization Management
UR Index Intake Coordinator - REMOTE! Mon- Fri 10am - 7pm PST
UR Index Intake Coordinator - REMOTE! Mon- Fri 10am - 7pm PST
27 day ago
EK Health Services Inc.
- Remote: Nevada (USA)
- Full time
Utilization ManagementData EntryElectronic Medical RecordMedical AbbreviationsCategory ManagementIndexing
Business Analysis Advisor
Business Analysis Advisor
19 day ago
NTT DATA
- Remote: Maryland (USA)
- Full time
Utilization ManagementHealth ScreeningsICD Coding (ICD-9/ICD-10)Electronic Health Record ApplicationsClinical NursingCPT Coding
Engagement Manager - Provider Network Management - Texas
Engagement Manager - Provider Network Management - Texas
21 day ago
WellSky
- Remote: Texas (USA)
- Full time
Utilization ManagementClient EducationAnalyticsStrategy ExecutionMedical Record ManagementEvidence-Based Practice
Clinical Product Consultant - UM
Clinical Product Consultant - UM
16 day ago
Iodine Software
- Remote: Texas (USA)
- Full time
Utilization ManagementProject ManagementClinical AssessmentsInterQual CriteriaCare ManagementChronic Care
Medical Policy Clinical Specialist
Medical Policy Clinical Specialist
26 day ago
Premera Blue Cross
- Remote: Washington (USA)
- Full time
Clinical MedicineMedical WritingHealth Policy DevelopmentUtilization ManagementProject ManagementStatistical Analysis
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Pennsylvania (USA)
- Full time
Care ManagementClinical NursingWorkers' CompensationPatient Education And CounselingEducational AssessmentTreatment Planning
Medical Field Case Manager
Medical Field Case Manager
14 day ago
Genex Services
- Remote: Vermont (USA)
- Full time
Care ManagementPatient EvaluationTreatment PlanningWorkers' Compensation ClaimsClinical PracticesOnline Communication
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
15 day ago
Concentra
- Remote: Texas (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Credential ManagerManaged CareMedical Necessity
VP, Clinical Operations
VP, Clinical Operations
14 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Clinical System OperationsMedicarePolicy DevelopmentPublic HealthAnalyticsMedical Management
PM&R Telecommute Medical Review Stream Physician
PM&R Telecommute Medical Review Stream Physician
15 day ago
Concentra
- Remote: California (USA)
- Full time
Utilization ManagementClinical AssessmentsClinical PracticesStandards OrganizationManaged Care
Client Solutions Manager- CM & UM
Client Solutions Manager- CM & UM
3 day ago
Abacus Insights
- Remote: United States
- Full time
Utilization ManagementCare ManagementHealthcare AnalyticsCustomer Requirements AnalysisMRO SoftwareUser Acceptance Testing (UAT)
Telecommute Medical Review Stream Physician
Telecommute Medical Review Stream Physician
15 day ago
Concentra
- Remote: Texas (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Plastic SurgeryRehabilitationPhysical Medicine And Rehabilitation
Medical Case Manager II
Medical Case Manager II
30+ days ago
CorVel Corporation
- Remote: Vatican City
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Utilization ManagementNeurologyPhysical Medicine And RehabilitationCost ContainmentOrthopedicsNurse Registry
Behavioral Health Care Manager Lead (UM)
Behavioral Health Care Manager Lead (UM)
7 day ago
Elevance Health
- Remote: Indiana (USA)
- Full time
Utilization ManagementBehavioral HealthCare ManagementAddiction TreatmentPsychiatric TreatmentsAuditing
Supervisor-Utilization Review/Full Time/Remote
Supervisor-Utilization Review/Full Time/Remote
6 day ago
Henry Ford Health
- Remote: Michigan (USA)
- Full time
Utilization ManagementRevenue ManagementFinancial ManagementProject ManagementAnalytical DashboardKPI Management
Medical Director - Pediatric Otolaryngology- EviCore
Medical Director - Pediatric Otolaryngology- EviCore
12 day ago
Evernorth Health Services
- Remote: Ohio (USA)
- Full time
OtolaryngologyClinical AssessmentsEvidence-Based PracticeComputer SystemsUtilization ManagementMedical Necessity
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
15 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Managed CareMedical Necessity
USRN (Utilization Management)
USRN (Utilization Management)
30+ days ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
- Junior (1-2 years)
Utilization ManagementMedical Insurance ClaimsMedical Record Management
Neurologist Telecommute Medical Review Stream
Neurologist Telecommute Medical Review Stream
15 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Medical Licensing (Health Law)Clinical AssessmentsNeurologyMedical NecessityUtilization ManagementCredential Manager
Customer Success Manager
Customer Success Manager
30+ days ago
Salsify
- Remote: Portugal
- 32 - 38K
Customer Success ManagementChange ManagementCustomer RetentionSalesforceCustomer Success ManagementBusiness Valuation
Utilization Management Registered Nurse, Indiana - Remote
Utilization Management Registered Nurse, Indiana - Remote
15 day ago
McLaren Health Care
- Remote: Indiana (USA)
- Full time
Utilization ManagementClinical NursingManaged CareCare ManagementNurse Licensure CompactBehavioral Change Theories
Primary Therapist - Virtual - (East Coast - NY license)
Primary Therapist - Virtual - (East Coast - NY license)
11 day ago
Monte Nido & Affiliates
- Remote: New York (USA)
- Full time
Group TherapyFamily TherapyUtilization ManagementDischarge PlanningNutrition InterventionEmotional Disorders
Medicaid Provider Materials Lead
Medicaid Provider Materials Lead
Today
Humana
- Remote: United States
- Full time
Content CreationInstructional DesignProject ManagementDigital File ManagementManaged CarePolicy Development
Medical Field Case Manager
Medical Field Case Manager
15 day ago
Genex Services
- Remote: Illinois (USA)
- Full time
Care ManagementNursingWorkers' CompensationBasic Patient CareTreatment PlanningClinical Practices
Network Performance Advisor
Network Performance Advisor
13 day ago
Sunshine Health
- Remote: Florida (USA)
- Full time
Provider ModelPerformance Based ContractingNetwork AdministrationFinancial AnalysisUtilization ManagementQuality Assessment
Clinical Care Reviewer, Pediatric Shift Care, RN
Clinical Care Reviewer, Pediatric Shift Care, RN
9 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Utilization ManagementNursingPediatricsClinical AssessmentsClinical InformaticsInterQual Criteria
RN II
RN II
5 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: United States
- Full time
Patient Education And CounselingCare ManagementUtilization ManagementClinical AssessmentsHealthcare Facilities PlanningInpatient Care
Medical Field Case Manager
Medical Field Case Manager
22 day ago
Genex Services
- Remote: Colorado (USA)
- Full time
Care ManagementNursingWorkers' CompensationClinical PracticesAcute Care NursingUtilization Management
Senior Complex Bill Reviewer 2
Senior Complex Bill Reviewer 2
5 day ago
Mitchell International
- Remote: United States
- Full time
Clinical ConsultingMedical CodingMedical Insurance ClaimsICD 503Liability InsuranceOrthopedics
Internal Medicine Telecommute Medical Review Stream Physician
Internal Medicine Telecommute Medical Review Stream Physician
15 day ago
Concentra
- Remote: Colorado (USA)
- Full time
Clinical Data AnalysisUtilization ManagementMedical NecessityInternal MedicineLanguage InterpretationManaged Care
Neurosurgeon Telecommute Medical Review Stream
Neurosurgeon Telecommute Medical Review Stream
15 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
NeurosurgeryUtilization ManagementClinical AssessmentsMedical NecessityInsurance ReviewsManaged Care
US Registered Nurse
US Registered Nurse
20 day ago
Cognizant
- Remote: Philippines
- Full time
Utilization ManagementCall Center ExperienceClinical AssessmentsCall Center Experience
Telecommute Medical Review Stream Physician
Telecommute Medical Review Stream Physician
15 day ago
Concentra
- Remote: Colorado (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Managed CareMedical Necessity
Nurse Practitioner (Ocean, New Jersey)
Nurse Practitioner (Ocean, New Jersey)
12 day ago
CareCentrix
- Remote: New Jersey (USA)
- Full time
Utilization ManagementAcute Care NursingClinical AuditingBasic Patient CareMedical Record ManagementInterQual Criteria
