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
334 jobs
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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
Travel Field Care Coordinator/ Licensed - Remote
Travel Field Care Coordinator/ Licensed - Remote
21 days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationHealth Risk AssessmentsCross-Functional Collaboration
Medical Director Utilization Management Oncology: Remote 
Medical Director Utilization Management Oncology: Remote
26 days ago
The Oncology Institute
- From: Arizona (USA), California (USA), Florida (USA), Nevada (USA), Oregon (USA) (Full Remote)
- Full time
Utilization ManagementClinical InformaticsOncology
Care Manager RN - Remote
Care Manager RN - Remote
29 days ago
Highmark Health
- From: 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 Remote)
- Full time
Utilization ManagementRegulatory ComplianceCare ManagementClinical Assessments
Case Manager
Case Manager
5 days ago
BlueCross BlueShield of Tennessee
- From: Tennessee (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care Management
Utilization Review Medical Director
Utilization Review Medical Director
13 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
Clinical Data AnalysisUtilization Management
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
13 days ago
Centene Corporation
- From: California (USA), Texas (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Clinical Product Specialist - CDI
Clinical Product Specialist - CDI
30+ days ago
Iodine Software
- From: Texas (USA) (Full Remote)
- Full time
Product ManagementRevenue ManagementArtificial IntelligenceClinical Consulting
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
Non-Clinical Coding and OASIS Review Manager
Non-Clinical Coding and OASIS Review Manager
18 days ago
BAYADA Home Health Care
- From: Texas (USA) (Full Remote)
- Full time
MOQ (Software)
Middle Revenue Services Senior Director
Middle Revenue Services Senior Director
20 days ago
Essentia Health
- From: Minnesota (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Coding TheoryHealth Information ManagementUtilization ManagementClinical Documentation
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
Care Manager RN - (Remote)
Care Manager RN - (Remote)
14 days ago
Highmark Health
- From: West Virginia (USA) (Full Remote)
- Full time
Utilization ManagementNurse Licensure CompactCare ManagementClinical Assessments
LPN – Utilization Management (Shift Care Team)
LPN – Utilization Management (Shift Care Team)
30+ days ago
The CKHobbie Group
- From: Pennsylvania (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementPediatric NursingCompliance Management
Care Manager, Health Plan - Licensed/Remote in CA
Care Manager, Health Plan - Licensed/Remote in CA
16 days ago
Magellan Health
- From: California (USA) (Full Remote)
- Full time
Health Risk AssessmentsBehavioral HealthCare ManagementClinical Medicine
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
16 days ago
Centene Corporation
- From: Florida (USA), Georgia (USA), Indiana (USA), Iowa (USA), Kansas (USA), Missouri (USA), Nebraska (USA), North Carolina (USA), Ohio (USA), Pennsylvania (USA), South Carolina (USA), Texas (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Remote 1099 Work for Internal Medicine Physicians
Remote 1099 Work for Internal Medicine Physicians
30+ days ago
Medical Review Institute
- From: Minnesota (USA), New Mexico (USA) (Full Remote)
- Freelance
Utilization ManagementMedical Licensing (Health Law)CardiologyClinical Assessments
Clinical Implementation Specialist
Clinical Implementation Specialist
14 days ago
Beckman Coulter Diagnostics
- From: Arizona (USA), California (USA), Colorado (USA), Texas (USA) (Full Remote)
- Full time
Diagnostic MicrobiologyProject ManagementEmergency MedicineDecision Support Systems
Medical Director
Medical Director
7 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsCare ManagementTotal Quality Management
Medical Management Specialist, LVN
Medical Management Specialist, LVN
13 days ago
SCAN
- From: California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementCase Management Systems
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
30+ days ago
Dane Street, LLC
- From: New York (USA) (Full Remote)
- Fixed term
Utilization ManagementWorkers' Compensation ClaimsMedical NecessityOrthopedics
USRN/New NCLEX Passer
USRN/New NCLEX Passer
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Utilization ManagementNursingBasic Patient Care
US Registered Nurse
US Registered Nurse
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Clinical Implementation Specialist
Clinical Implementation Specialist
14 days ago
SCIEX
- From: Arizona (USA), California (USA), Colorado (USA), Texas (USA) (Full Remote)
- Full time
SepsisDiagnostic MicrobiologyEmergency MedicineDecision Support Systems
Payment Integrity Analyst III
Payment Integrity Analyst III
30+ days ago
CERIS
- From: Texas (USA) (Full Remote)
- Full time
ICD Coding (ICD-9/ICD-10)Diagnosis-Related GroupClaims And Litigation Management
USRN
USRN
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Clinical Assessments
Board Certified OB/GYN-Obstetrics and Gynecology Physician Advisor, Disability
Board Certified OB/GYN-Obstetrics and Gynecology Physician Advisor, Disability
30+ days ago
Dane Street, LLC
- From: California (USA) (Full Remote)
- Freelance
Obstetrics And GynaecologyObstetrics And GynaecologyMedical Necessity
Physician Reviewer - Orthopedic Spine (Utilization Review)
Physician Reviewer - Orthopedic Spine (Utilization Review)
30+ days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
Utilization ManagementOrthopedics
Provider Engagement Account Manager
Provider Engagement Account Manager
30+ days ago
Centene Corporation
- From: Pennsylvania (USA) (Full Remote)
- Full time
Provider ModelAccount ManagementQuality AssessmentClaims And Litigation Management
Senior Benefits Consultant
Senior Benefits Consultant
30+ days ago
Brown & Brown Insurance
- From: South Dakota (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Benefits AdministrationCompliance ManagementCorporate Financial Reporting
Transition of Care Nurse
Transition of Care Nurse
14 days ago
Health Plan of San Joaquin
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementDischarge PlanningCare Management
Clinical Product Specialist - UM
Clinical Product Specialist - UM
30+ days ago
Iodine Software
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementClinical InformaticsArtificial IntelligenceHealthcare Industry Knowledge
Medical Director
Medical Director
30+ days ago
Jefferson Health
- From: Pennsylvania (USA) (Full Remote)
- Part time
Utilization ManagementCare ManagementClinical ConsultingPharmacy Operations
Care Coordinator- CISC
Care Coordinator- CISC
30+ days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationHealth Risk Assessments
Career Opportunities: Clinical Operations Manager (24994)
Career Opportunities: Clinical Operations Manager (24994)
27 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
Clinical System OperationsUtilization ManagementNursingCare Management
Program Director - Eating Disorder, Residential
Program Director - Eating Disorder, Residential
30+ days ago
Discovery Behavioral Health
- From: United States, California (USA) (Full Remote)
- Full time
- Expert & Leadership (>10 years)
- 77 - 95K
Utilization ManagementGroup TherapyClinical Supervision
USRN
USRN
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization Management
BH UM Clinician - Fully remote
BH UM Clinician - Fully remote
30+ days ago
MetroPlusHealth
- From: New York (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthDischarge Planning
Oncology Nurse Case Manager
Oncology Nurse Case Manager
30+ days ago
MedCost LLC
- From: North Carolina (USA) (Full Remote)
- Full time
Discharge PlanningCare ManagementNursingBasic Patient Care
Clinical Reviewer, Nurse Surgery - Full Time
Clinical Reviewer, Nurse Surgery - Full Time
1 day ago
New Century Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization Management
Clinical Appeals Specialist RN (Remote NC)
Clinical Appeals Specialist RN (Remote NC)
20 days ago
Vaya Health
- From: North Carolina (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementAppealsMedicaid
Clinical Reviewer, Nurse Surgery - Part Time
Clinical Reviewer, Nurse Surgery - Part Time
1 day ago
New Century Health
- From: United States (Full Remote)
- Part time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization Management
Care Manager, SCO
Care Manager, SCO
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: Kentucky (USA), Massachusetts (USA) (Full Remote)
Care CoordinationUtilization Management
Mental Health Therapist - Outpatient
Mental Health Therapist - Outpatient
30+ days ago
Discovery Behavioral Health
- From: United States, District of Columbia (USA), Washington (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
SCO RN Case Manager
SCO RN Case Manager
5 days ago
Upham's Community Care
- From: United States, Dorchester (Hybrid)
- Full time
- Senior (5-10 years)
Care CoordinationCase Management SystemsHealth AssessmentPatient Education And Counseling
Physician Utilization Reviewer (Medical Director)
Physician Utilization Reviewer (Medical Director)
30+ days ago
Medical Review Institute
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementClinical MedicineBasic Patient CareAdjudication
Nurse Practitioner (Ocean, New Jersey)
Nurse Practitioner (Ocean, New Jersey)
30+ days ago
CareCentrix
- From: New Jersey (USA) (Full Remote)
- Full time
Utilization ManagementAcute Care NursingClinical AuditingBasic Patient Care
Customer Execution and Clinical Monitoring Specialist
Customer Execution and Clinical Monitoring Specialist
30+ days ago
RippedBoxStation
- From: Philippines (Full Remote)
- Full time
Utilization ManagementHealth ScreeningsMedical DevicesElectronic Medical Record
Physician Advisor
Physician Advisor
30+ days ago
CHI
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementICD 503Clinical Documentation
Care Manager, BH
Care Manager, BH
30+ days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementCrisis InterventionDischarge Planning
