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
336 jobs
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Utilization Review, RN
Utilization Review, RN
30+ days ago
MedCost LLC
- From: North Carolina (USA) (Full Remote)
- Full time
Utilization ManagementMedical NecessityClinical Documentation
Payment Integrity Analyst II
Payment Integrity Analyst II
30+ days ago
CERIS
- From: Texas (USA) (Full Remote)
- Full time
ICD Coding (ICD-9/ICD-10)Diagnosis-Related GroupClaims And Litigation Management
RN Client Focused Case Manager (Remote) - 40 Hours - Day Shift - Populance
RN Client Focused Case Manager (Remote) - 40 Hours - Day Shift - Populance
30+ days ago
Henry Ford Health
- From: Michigan (USA) (Full Remote)
- Full time
Care ManagementUtilization Management
Utilization Review Clinician - Behavioral Health (Sat-Wed Shift)
Utilization Review Clinician - Behavioral Health (Sat-Wed Shift)
4 days ago
Centene Corporation
- From: Florida (USA), Kentucky (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisAddiction TreatmentMental HealthUtilization Management
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Enlyte
- From: Illinois (USA) (Full Remote)
- Full time
Care ManagementNursingWorkers' CompensationClinical Practices
Transitions of Care - RN, 100% Virtual, CareBridge (Bilingual Spanish)
Transitions of Care - RN, 100% Virtual, CareBridge (Bilingual Spanish)
20 days ago
Elevance Health
- From: Colorado (USA), Delaware (USA), Florida (USA), Georgia (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Maine (USA), Maryland (USA), Missouri (USA), North Carolina (USA), Ohio (USA), Tennessee (USA) (Full Remote)
- Full time
Behavior EvaluationPatient Education And CounselingNurse Licensure CompactHealth And Wellness Coaching
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare CoordinationClinical Assessments
Career Opportunities: Quality Assurance Manager, Clinical Systems (25017)
Career Opportunities: Quality Assurance Manager, Clinical Systems (25017)
6 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
Edtech Consultant - Central and Eastern Europe (CEE)
Edtech Consultant - Central and Eastern Europe (CEE)
20 days ago
Matific
- From: Hungary, Budapest (Hybrid)
- Full time
Sales ManagementConsultative SellingClosing (Sales)
Psychologist Reviewer
Psychologist Reviewer
30+ days ago
Centene Corporation
- From: Georgia (USA), Illinois (USA), Indiana (USA), Iowa (USA), Nebraska (USA), New Hampshire (USA), New Jersey (USA) (Full Remote)
- Full time
Behavioral HealthApplied Behavior Analysis
Senior FP&A & Costing Analyst
Senior FP&A & Costing Analyst
30+ days ago
Epiq Systems (Private) Limited
- From: Arizona (USA), Florida (USA), Illinois (USA), Kansas (USA), New York (USA), Oregon (USA), Texas (USA) (Full Remote)
- Full time
Financial ManagementCost AccountingCost Benefit AnalysisAWS Cost Management
Clinical Operations Director
Clinical Operations Director
30+ days ago
TapTalent.ai
- From: Philippines (Full Remote)
- Full time
- Mid-level (2-5 years)
Manager, Technical Consulting
Manager, Technical Consulting
7 days ago
Okta
- From: Canada (Full Remote)
- Full time
- Senior (5-10 years)
Identity And Access ManagementCustomer Engagement
System Physician Advisor
System Physician Advisor
30+ days ago
CommonSpirit Health
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceICD 503Clinical Documentation
Psychologist Reviewer
Psychologist Reviewer
25 days ago
Centene Corporation
- From: Kentucky (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthPsychometrics
Behavioral Health Utilization Management Clinician ABA
Behavioral Health Utilization Management Clinician ABA
13 days ago
Cambia Health Solutions
- From: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA) (Full Remote)
- Full time
CBASICUtilization ManagementBehavioral HealthClinical Consulting
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
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
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
20 days ago
Centene Corporation
- From: Arizona (USA) (Full Remote)
- Full time
Discharge PlanningUtilization ManagementMedical Necessity
Physician Advisor, Utilization Review/Management
Physician Advisor, Utilization Review/Management
7 days ago
Sutter Health
- From: Ohio (USA) (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementHealth Information ManagementCoding TheoryClinical Documentation
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
Manager, Clinical Pharmacy for Prior Authorization- Remote
Manager, Clinical Pharmacy for Prior Authorization- Remote
19 days ago
Sentara Healthcare
- From: Alabama (USA), Delaware (USA), Florida (USA), Georgia (USA), Idaho (USA), Indiana (USA), Kansas (USA), Louisiana (USA), Maine (USA), Maryland (USA), Minnesota (USA), Nebraska (USA), Nevada (USA), New Hampshire (USA), North Carolina (USA) (Full Remote)
- Full time
Utilization ManagementClinical PharmacyPrior Authorization
Utilization Review Clinician (RN, PT, OT) - Oregon
Utilization Review Clinician (RN, PT, OT) - Oregon
30+ days ago
WellSky
- From: Oregon (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementMedical GuidelineNursing
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)
Care Manager
Care Manager
30+ days ago
MetroPlusHealth
- From: New York (USA) (Full Remote)
- Full time
Utilization ManagementCare ManagementClinical AssessmentsService Management
Physician Reviewer, Medical Managment
Physician Reviewer, Medical Managment
28 days ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementAssessment And AuthorizationMedical ManagementCase Management Systems
RN Nurse Case Management Manager, Work from Home, California
RN Nurse Case Management Manager, Work from Home, California
11 days ago
The Cigna Group
- From: California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementPerformance 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
Behavioral Health Utilization Management Clinician
Behavioral Health Utilization Management Clinician
13 days ago
Cambia Health Solutions
- From: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthMedical Licensing (Health Law)
Clinical Implementation Specialist
Clinical Implementation Specialist
12 days ago
Radiometer
- From: Arizona (USA), California (USA), Colorado (USA), Texas (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Emergency MedicineDiagnostic MicrobiologyClinical PracticesProject Management
Sr Utilization Management
Sr Utilization Management
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: Suriname (Full Remote)
- Full time
- Senior (5-10 years)
Basic Patient CareMedicaid
Compliance Professional 2
Compliance Professional 2
6 days ago
Humana
- From: Kentucky (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
AuditingPolicy DevelopmentCompliance Management
Behavioral Health Care Manager I
Behavioral Health Care Manager I
9 days ago
Elevance Health
- From: North Carolina (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementBehavioral HealthCare ManagementClinical Assessments
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
Financial AnalysisData ManagementActuarial Science
Travel Field Care Coordinator/ Licensed - Remote
Travel Field Care Coordinator/ Licensed - Remote
20 days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationHealth Risk AssessmentsCross-Functional Collaboration
Case Manager
Case Manager
4 days ago
BlueCross BlueShield of Tennessee
- From: Tennessee (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care 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
Care Navigator- LPN/LVN - Remote - EST Time Zone - Michigan AND Compact License Required
Care Navigator- LPN/LVN - Remote - EST Time Zone - Michigan AND Compact License Required
6 days ago
Optimize Health
- From: Michigan (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Motivational InterviewingNurse Licensure CompactBiomedical InstrumentationTreatment Planning
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
Utilization Management Coordinator I (PACE)
Utilization Management Coordinator I (PACE)
8 days ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Medical BillingUtilization ManagementAuthorization (Computing)Regulatory Compliance
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
Utilization Review Clinician - BH
Utilization Review Clinician - BH
25 days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
Clinical Data AnalysisBehavioral HealthMental Health AssessmentsPrior Authorization
Remote Medical Director - Pennsylvania
Remote Medical Director - Pennsylvania
13 days ago
Centene Corporation
- From: Pennsylvania (USA) (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementQuality Assessment
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
Utilization Management Clinician
Utilization Management Clinician
15 days ago
Cambia Health Solutions
- From: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA) (Full Remote)
- Full time
Utilization ManagementDisease ManagementCare ManagementClinical Consulting
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)
21 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
Medical Director Utilization Management Oncology: Remote 
Medical Director Utilization Management Oncology: Remote
25 days ago
The Oncology Institute
- From: Arizona (USA), California (USA), Florida (USA), Nevada (USA), Oregon (USA) (Full Remote)
- Full time
Utilization ManagementClinical InformaticsOncology
