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
366 jobs
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Clinical Reviewer WA L&I
Clinical Reviewer WA L&I
30+ days ago
Comagine Health
- From: Washington (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementNursingAnalytics
Care Coordinator
Care Coordinator
18 days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationHealth Risk Assessments
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
30+ days ago
Gainwell Technologies LLC
- From: Maine (USA) (Full Remote)
- Full time
Utilization ManagementInterQual CriteriaMedical NecessityClinical Documentation
RN II, Fully Insured Care Manager
RN II, Fully Insured Care Manager
4 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementNurse Licensure CompactClinical AssessmentsCare Management
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
27 days ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisAuthorization (Computing)Regulatory ComplianceMedical Necessity
Remote Medical Director - California
Remote Medical Director - California
30+ days ago
Centene Corporation
- From: California (USA) (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Integrated Care Management Nurse or Clinician
Integrated Care Management Nurse or Clinician
21 days ago
Cambia Health Solutions
- From: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Nurse RegistryBehavioral HealthCare ManagementCare Management
Concurrent Review Nurse
Concurrent Review Nurse
16 days ago
Health Plan of San Joaquin
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Educational AssessmentQuantitative Analysis
Physician Utilization Reviewer (Medical Director)
Physician Utilization Reviewer (Medical Director)
30+ days ago
Medical Review Institute
- From: Utah (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementClinical MedicineCommunity Advocacy
Physical Medicine & Rehabilitation Telecommute Medical Review Stream Physician
Physical Medicine & Rehabilitation Telecommute Medical Review Stream Physician
30+ days ago
Concentra
- From: New Mexico (USA) (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
UR Index Intake Coordinator - REMOTE! Mon- Fri - 12:30 PM - 5:30 PM PST (Part-Time)
UR Index Intake Coordinator - REMOTE! Mon- Fri - 12:30 PM - 5:30 PM PST (Part-Time)
19 days ago
EK Health Services Inc.
- From: Nevada (USA) (Full Remote)
- Part time
Case Management SystemsData EntryUtilization ManagementLaser Scanning
Ops-UM Training Specialist
Ops-UM Training Specialist
30+ days ago
Integra Partners
- From: Arizona (USA), Colorado (USA), Connecticut (USA), Florida (USA), Georgia (USA), Idaho (USA), Illinois (USA), Kentucky (USA), Massachusetts (USA), Michigan (USA), New Jersey (USA), New York (USA), North Carolina (USA), Ohio (USA), Pennsylvania (USA) (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceClinical Documentation
Case Manager RN Oncology (Remote)
Case Manager RN Oncology (Remote)
19 days ago
Health Plans Inc
- From: Maine (USA), Massachusetts (USA), New Hampshire (USA), Vermont (USA) (Full Remote)
- Full time
OncologyCare ManagementPatient Education And CounselingUtilization Management
Care Manager
Care Manager
30+ days ago
MetroPlusHealth
- From: New York (USA) (Full Remote)
- Full time
Utilization ManagementCare ManagementClinical AssessmentsService Management
Payment Integrity Analyst II - DRG Auditor
Payment Integrity Analyst II - DRG Auditor
30+ days ago
CERIS
- From: Texas (USA) (Full Remote)
- Full time
ICD Coding (ICD-9/ICD-10)Diagnosis-Related GroupClaims And Litigation Management
Case Manager/Social Worker
Case Manager/Social Worker
11 days ago
Clark Outsourcing
- From: Philippines (Full Remote)
- Full time
- Mid-level (2-5 years)
Care CoordinationEducational AssessmentCerner EHRInternal Documentation
Behavioral Health Clinical Liaison
Behavioral Health Clinical Liaison
20 days ago
Centene Corporation
- From: Arizona (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementBehavioral HealthEducational AssessmentMedical Science
Supervisor, Utilization Management
Supervisor, Utilization Management
20 days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementCompliance ManagementPerformance Analytics
Quality Management Monitoring Specialist (Remote-NC)
Quality Management Monitoring Specialist (Remote-NC)
12 days ago
Partners Health Management
- From: North Carolina (USA) (Full Remote)
- Full time
AuditingCompliance ManagementContinuous MonitoringTotal Quality Management
RN Case Manager - California
RN Case Manager - California
4 days ago
ConcertoCare
- From: California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care CoordinationCare ManagementNurse Licensure CompactPatient Education And Counseling
Clin Documentation Spec I
Clin Documentation Spec I
17 days ago
Methodist Health System
- From: Texas (USA) (Full Remote)
- Full time
ICD 503Clinical Documentation
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
30+ days ago
Centene Corporation
- From: Arizona (USA) (Full Remote)
- Full time
Discharge PlanningUtilization ManagementMedical Necessity
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
5 days ago
Centene Corporation
- From: Georgia (USA) (Full Remote)
- Full time
- Entry-level / graduate
Clinical Data AnalysisRegulatory ComplianceMedical NecessityAuthentication Servers
Member & Recipient Svcs Clinician (Remote NC, Thur-Sat, 9a-9p)
Member & Recipient Svcs Clinician (Remote NC, Thur-Sat, 9a-9p)
16 days ago
Vaya Health
- From: North Carolina (USA) (Full Remote)
- Full time
Patient ReferralHealth ScreeningsTriageCrisis Intervention
Healthcare - Care Review Clinician I
Healthcare - Care Review Clinician I
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), New York (USA), Ohio (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
- Entry-level / graduate
Behavioral HealthNurse Licensure CompactPrior Authorization
Utilization Management Coordinator
Utilization Management Coordinator
15 days ago
Integra Partners
- From: Arizona (USA), Colorado (USA), Connecticut (USA), Florida (USA), Georgia (USA), Idaho (USA), Illinois (USA), Kentucky (USA), Massachusetts (USA), Michigan (USA), New Jersey (USA), New York (USA), North Carolina (USA), Ohio (USA), Pennsylvania (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Medical SoftwareUtilization ManagementICD 503
Psychologist Reviewer
Psychologist Reviewer
30+ days ago
Centene Corporation
- From: Oklahoma (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthPsychometrics
Career Opportunities: Actuary, Senior (24950)
Career Opportunities: Actuary, Senior (24950)
30+ days ago
CareOregon
- From: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Financial AnalysisData ManagementActuarial Science
Team Allocation Manager at Uptech
Team Allocation Manager at Uptech
12 days ago
Uptech
- From: Ukraine, Kyiv (Full Remote)
- Full time
- Mid-level (2-5 years)
Business OperationsProject ManagementResource Management
Bilingual RN Case Manager
Bilingual RN Case Manager
25 days ago
Cottingham & Butler
- From: Iowa (USA) (Full Remote)
- Full time
Care ManagementNurse Licensure CompactUtilization Management
Remote Licensed Clinical Therapist - OR/CA licenses
Remote Licensed Clinical Therapist - OR/CA licenses
30+ days ago
Monte Nido
- From: California (USA), Oregon (USA) (Full Remote)
- Freelance
Discharge PlanningRecreational TherapyNutrition InterventionEmotional Disorders
Behavioral Health Clinical Liaison
Behavioral Health Clinical Liaison
6 days ago
Centene Corporation
- From: Georgia (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
AnalyticsBehavioral HealthUtilization ManagementMedical Science
Clinical Admissions Therapist (New Hampshire)
Clinical Admissions Therapist (New Hampshire)
30+ days ago
Charlie Health
- From: New Hampshire (USA) (Full Remote)
- Full time
TelehealthPsychosocial AssessmentsMental Health Assessments
Board Certified New York-Licensed Physician Reviewers - Orthopedic Surgery-Spine
Board Certified New York-Licensed Physician Reviewers - Orthopedic Surgery-Spine
30+ days ago
Dane Street, LLC
- From: New York (USA) (Full Remote)
- Fixed term
Spinal FusionOrthopedics
Texas Licensed Physician Reviewer - Neurological Surgery
Texas Licensed Physician Reviewer - Neurological Surgery
30+ days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Fixed term
NeurosurgeryMedical Licensing (Health Law)
Grievance and Appeals Nurse Specialist
Grievance and Appeals Nurse Specialist
30+ days ago
Partnership HealthPlan of California
- From: California (USA) (Full Remote)
- Full time
Care ManagementGrievance ArbitrationUtilization ManagementClinical Assessments
Remote Behavioral Medical Director
Remote Behavioral Medical Director
30+ days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)
30+ days ago
CNSI
- From: Illinois (USA) (Full Remote)
- Freelance
MedicaidGeneral PractitionerUtilization Management
Medical Case Manager II
Medical Case Manager II
30+ days ago
CorVel Corporation
- From: Vatican City (Full Remote)
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Utilization ManagementNeurologyCost Containment
RN Coordinator Utilization Management
RN Coordinator Utilization Management
20 days ago
Network Health WI
- From: Wisconsin (USA) (Full Remote)
- Full time
Utilization ManagementAssessment And AuthorizationNurse Licensure CompactClinical Assessments
Travel Field Care Coordinator/ Licensed - Remote
Travel Field Care Coordinator/ Licensed - Remote
30+ days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationHealth Risk AssessmentsCross-Functional Collaboration
RN Nurse Case Management Manager, Work from Home, California
RN Nurse Case Management Manager, Work from Home, California
30+ days ago
The Cigna Group
- From: California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementPerformance Management
Utilization Review Coordinator
Utilization Review Coordinator
5 days ago
Mountainside
- From: Connecticut (USA) (Full Remote)
- Part time
- Entry-level / graduate
Utilization ManagementBehavioral HealthManaged Care
CISC Care Coordinator, Licensed
CISC Care Coordinator, Licensed
17 days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationHealth Risk AssessmentsBehavioral HealthCross-Functional Collaboration
Manager, Technical Consulting
Manager, Technical Consulting
30+ days ago
Okta
- From: Canada (Full Remote)
- Full time
- Senior (5-10 years)
Identity And Access ManagementCustomer Engagement
USRN (Utilization Management)
USRN (Utilization Management)
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
- Junior (1-2 years)
Utilization ManagementMedical Insurance Claims
Career Opportunities: Quality Assurance Manager, Clinical Systems (25017)
Career Opportunities: Quality Assurance Manager, Clinical Systems (25017)
30+ days ago
CareOregon
- From: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical System OperationsUtilization ManagementProject Management
Cardiologist Needed for Remote 1099 Utilization Review Work
Cardiologist Needed for Remote 1099 Utilization Review Work
30+ days ago
Medical Review Institute
- From: Maryland (USA), Minnesota (USA), New Mexico (USA), Texas (USA), Virginia (USA) (Full Remote)
- Freelance
Utilization ManagementCardiologyClinical Assessments
Behavioral Health Clinician-Child Home Based
Behavioral Health Clinician-Child Home Based
6 days ago
Detroit Wayne Integrated Health Network
- From: Michigan (USA) (Full Remote)
- Full time
Treatment PlanningCare ManagementEducational AssessmentPsychotherapy
Manager, Utilization Management
Manager, Utilization Management
12 days ago
Healthfirst
- From: Alabama (USA), Arizona (USA), Colorado (USA), Connecticut (USA), Florida (USA), Georgia (USA), Indiana (USA), Iowa (USA), Kansas (USA), Louisiana (USA), Maine (USA), Maryland (USA), Massachusetts (USA), Minnesota (USA), Montana (USA) (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceClinical PracticesCare Management
