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
560 jobs
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Medical Management Clinician Associate
Medical Management Clinician Associate
2 days ago
Elevance Health
- From: Florida (USA) (Full Remote)
- Full time
Utilization ManagementNurse Licensure CompactClinical AssessmentsHealth Policies
Medical Director - Mid West Region
Medical Director - Mid West Region
1 day ago
Humana
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 223 - 223K
Clinical GovernanceLanguage InterpretationUtilization Management
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
3 days ago
Centene Corporation
- From: Texas (USA) (Full Remote)
- Full time
- Entry-level / graduate
- 0 - 0K
Clinical Data AnalysisUtilization ManagementMedical NecessityAuthentication Servers
Concurrent Utilization Management RN
Concurrent Utilization Management RN
4 days ago
Humana
- From: Florida (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 71 - 71K
Care CoordinationUtilization ManagementClinical Consulting
Utilization Management Specialist
Utilization Management Specialist
1 day ago
SmarterDx
- From: United States (Full Remote)
- Full time
- 115 - 115K
Utilization ManagementClinical Data ManagementCare ManagementTreatment Planning
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
3 days ago
Centene Corporation
- From: Oklahoma (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 0 - 0K
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
UM Clinical Specialist RN - Physical Health (Full-time Remote, North Carolina Based)
UM Clinical Specialist RN - Physical Health (Full-time Remote, North Carolina Based)
4 days ago
Alliance Health
- From: North Carolina (USA) (Full Remote)
- Full time
- 68 - 68K
Utilization ManagementNursingBasic Patient CareClinical Assessments
Behavioral Health Clinical Liaison
Behavioral Health Clinical Liaison
3 days ago
Centene Corporation
- From: Arizona (USA), Arkansas (USA), Delaware (USA), Florida (USA), Georgia (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Michigan (USA), Mississippi (USA), Missouri (USA), Nevada (USA) (Full Remote)
- Full time
- Senior (5-10 years)
- 68 - 68K
AnalyticsBehavioral HealthQuality AssessmentMedical Science
Utilization Review Nurse
Utilization Review Nurse
4 days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
Professional Review Nurse
Professional Review Nurse
3 days ago
CorVel Corporation
- From: Texas (USA) (Full Remote)
- Full time
- Entry-level / graduate
- 51 - 51K
Medical BillingClinical Consulting
Utilization Management Bed Manager
Utilization Management Bed Manager
7 days ago
Centurion Health
- From: Illinois (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementNursing
Physical Health RN Clinical Care Reviewer II
Physical Health RN Clinical Care Reviewer II
10 days ago
CareSource
- From: Nevada (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementNurse Registry
Clinical Advocate Case Manager (Oncology)-REMOTE
Clinical Advocate Case Manager (Oncology)-REMOTE
5 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA), Hopewell (Full Remote)
- Full time
- Mid-level (2-5 years)
Care CoordinationOncologyClinical Consulting
Utilization Review Nurse
Utilization Review Nurse
11 days ago
Sidecar Health
- From: Florida (USA), Georgia (USA), Kentucky (USA), Ohio (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementMilliman Care Guidelines (MCG)Clinical InformaticsMedical Necessity
Unit Mgr Clinical Operations
Unit Mgr Clinical Operations
3 days ago
Health Care Service Corporation
- From: Texas (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 69 - 69K
Utilization ManagementNursingDisease ManagementCare Management
Senior Child Behavioral Medical Director-New York
Senior Child Behavioral Medical Director-New York
3 days ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
- Senior (5-10 years)
- 231 - 231K
Clinical GovernanceUtilization ManagementPsychoeducationQuality Assessment
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
3 days ago
Centene Corporation
- From: Nevada (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 0 - 0K
Discharge PlanningUtilization ManagementMedical Necessity
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
5 days ago
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Physician Reviewer - Neurological Surgery (Utilization Review) LA
Physician Reviewer - Neurological Surgery (Utilization Review) LA
16 days ago
Dane Street, LLC
- From: Louisiana (USA) (Full Remote)
- Fixed term
NeurosurgeryMedical Licensing (Health Law)
Care Connect Case Manager, (REMOTE) -Oncology
Care Connect Case Manager, (REMOTE) -Oncology
4 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 77 - 77K
Care ManagementNurse Licensure CompactClinical Consulting
Care Manager, Health Plan
Care Manager, Health Plan
16 days ago
Magellan Health
- From: California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Health Risk AssessmentsBehavioral HealthCare ManagementCrisis Intervention
Care Coordinator, LSW
Care Coordinator, LSW
Just Now
Bluestone Physician Services
- From: Florida (USA), Minnesota (USA), Wisconsin (USA) (Full Remote)
- Full time
- Entry-level / graduate
- 65 - 65K
Care CoordinationCompetency AssessmentCare Management
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
16 days ago
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisMental Health AssessmentsSubstance Abuse AssessmentsPrior Authorization
USRN (Utilization Management)
USRN (Utilization Management)
17 days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Clinical Review Nurse - Correspondence
Clinical Review Nurse - Correspondence
3 days ago
Centene Corporation
- From: Arkansas (USA) (Full Remote)
- Full time
- Entry-level / graduate
- 0 - 0K
Clinical Data AnalysisUtilization ManagementCivil Drafting
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
16 days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
- Entry-level / graduate
Clinical NursingMedical ManagementCompliance Management
Senior Medical Director
Senior Medical Director
4 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Senior (5-10 years)
- 236 - 236K
Utilization ManagementMedical ManagementAnalytics
Case Manager, Utilization Review
Case Manager, Utilization Review
2 days ago
VIVA HEALTH
- From: Alabama (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical AssessmentsUtilization ManagementNursingCare Management
Case Manager - RN - St Vincent Primary Care - Erie - FT
Case Manager - RN - St Vincent Primary Care - Erie - FT
5 days ago
Highmark Health
- From: Pennsylvania (USA) (Full Remote)
- Full time
Patient Education And CounselingCare Management
Medical Director
Medical Director
19 days ago
Impresiv Health
- From: Oregon (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Evidence-Based PracticeUtilization ManagementInpatient CareMedical Necessity
Manager-Child and Adult Welfare Care Management (Primarily Remote, North Carolina Based)
Manager-Child and Adult Welfare Care Management (Primarily Remote, North Carolina Based)
4 days ago
Alliance Health
- From: North Carolina (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Program ImplementationStaff PlanningCare ManagementConflict Resolution
RN - Utilization Management Specialist - Full Time
RN - Utilization Management Specialist - Full Time
4 days ago
Sanford Health
- From: Minnesota (USA) (Full Remote)
- Full time
- 33 - 33K
Utilization ManagementDiagnosis CodesInterQual CriteriaMedical Necessity
Intake Coordinator
Intake Coordinator
Just Now
Zing Health
- From: Illinois (USA) (Full Remote)
- Full time
- 50 - 50K
AppealsUtilization ManagementGrievance ArbitrationCare Management
Clinical Coding and OASIS Review Manager
Clinical Coding and OASIS Review Manager
30+ days ago
BAYADA Home Health Care
- From: Texas (USA) (Full Remote)
- Full time
ICD 503
Data Analyst II Medical Economics
Data Analyst II Medical Economics
16 days ago
Centene Corporation
- From: Florida (USA), Missouri (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
AnalyticsRoot Cause AnalysisSQL (Programming Language)Data Mining
Physician Reviewer, Medical Managment
Physician Reviewer, Medical Managment
18 days ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementAssessment And AuthorizationMedical ManagementCase Management Systems
Supervisor, Utilization Management- Remote in VA!
Supervisor, Utilization Management- Remote in VA!
5 days ago
Sentara Healthcare
- From: Virginia (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementCare Management
Oracle Utilities MDM Consultant
Oracle Utilities MDM Consultant
30+ days ago
Talpro - Leaders in Technology Hiring
- From: India (Full Remote)
- Full time
Oracle Application Framework (OAF)Java (Programming Language)IBM InfoSphere MDM
Senior Manager of Project Management
Senior Manager of Project Management
30+ days ago
Caylent
- From: Canada (Full Remote)
- Full time
- Senior (5-10 years)
AWS Cloud ServicesProject Management
Senior Manager of Project Management
Senior Manager of Project Management
30+ days ago
Caylent
- From: Canada (Full Remote)
- Full time
- Senior (5-10 years)
AWS Cloud ServicesProject Management
Care Manager – Behavioral Health
Care Manager – Behavioral Health
11 days ago
ICONMA
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementBehavioral HealthCrisis Intervention
Clinical Facilitator, RN or SW
Clinical Facilitator, RN or SW
30+ days ago
Healthfirst
- From: New York (USA) (Full Remote)
- Full time
Support EngineeringAdult Learning PrinciplesClinical PracticesCurriculum Development
Group Health Medical Director
Group Health Medical Director
19 days ago
Dane Street, LLC
- From: Florida (USA) (Full Remote)
- Fixed term
- Senior (5-10 years)
Utilization ManagementClinical AuditingTotal Quality Management
Utilization Management Nurse
Utilization Management Nurse
Just Now
Zing Health
- From: Illinois (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 80 - 80K
Utilization ManagementClinical MedicineMedical Necessity
Care Manager (UM/UR) - Remote, Idaho Licensed
Care Manager (UM/UR) - Remote, Idaho Licensed
11 days ago
Magellan Health
- From: Idaho (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementCrisis InterventionQuality Assessment
Physician Reviewer- REMOTE
Physician Reviewer- REMOTE
19 days ago
Sierra Solutions Group
- From: Oklahoma (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Medical Record ManagementHealthcare Delivery ModelsClinical AssessmentsRegulatory Compliance
Senior Network Provider Relations
Senior Network Provider Relations
18 days ago
Mosaic Health
- From: California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Provider ModelClient EducationIssue ManagementContract Management
Physical Health Inpatient Clinical Care Reviewer II
Physical Health Inpatient Clinical Care Reviewer II
9 days ago
CareSource
- From: Nevada (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisDischarge PlanningUtilization ManagementCare Coordination
Medical Director
Medical Director
10 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementHealth Policy DevelopmentCare ManagementTotal Quality Management
Clinical Coding and OASIS Review Manager
Clinical Coding and OASIS Review Manager
30+ days ago
BAYADA Home Health Care
- From: Florida (USA) (Full Remote)
- Full time
ICD 503
