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
346 jobs
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VP, Clinical Operations
VP, Clinical Operations
30+ days ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
General SurgeryMedical ManagementPolicy Development
Care Management Social Worker
Care Management Social Worker
17 day ago
Cambia Health Solutions
- Remote: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA)
- Full time
Care ManagementBehavioral HealthCare ManagementHealthcare Industry Knowledge
Primary Therapist - Virtual - (East Coast - NY license)
Primary Therapist - Virtual - (East Coast - NY license)
30+ days ago
Monte Nido
- Remote: New York (USA)
- Full time
Group TherapyFamily Therapy
USRN (Utilization Management)
USRN (Utilization Management)
30+ days ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
- Junior (1-2 years)
Utilization ManagementMedical Insurance Claims
Physician Reviewer, Neurological Surgery - NV
Physician Reviewer, Neurological Surgery - NV
13 day ago
Dane Street, LLC
- Remote: Nevada (USA)
- Fixed term
Utilization ManagementAdvisory CircularMedical NecessityClinical Consulting
Customer Success Manager
Customer Success Manager
30+ days ago
Salsify
- Remote: Portugal
- 32 - 38K
Customer Success ManagementChange Management
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- Remote: Texas (USA)
- Full time
Utilization ManagementProject ManagementClinical Assessments
Medical Case Manager - BlueCare SelectCommunity - Roane and Morgan Counties
Medical Case Manager - BlueCare SelectCommunity - Roane and Morgan Counties
6 day ago
BlueCross BlueShield of Tennessee
- Remote: United States
- Full time
Care ManagementNursingUtilization Management
HRSN Specialist RN I
HRSN Specialist RN I
28 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 Abbreviations
IP Manager
IP Manager
20 day ago
Finning
- Remote: Chile
- Full time
Process OptimizationProject ManagementPerformance MetricCustomer Relationship Management
Manager, Behavioral Health Care Management/RN/LCSW/LPC/LCAS- Remote in VA!
Manager, Behavioral Health Care Management/RN/LCSW/LPC/LCAS- Remote in VA!
5 day ago
Sentara Healthcare
- Remote: United States
- Full time
Care CoordinationUtilization ManagementBehavioral HealthMedical Management
RN Clinical Review Clinician - Appeals
RN Clinical Review Clinician - Appeals
11 day ago
Centene Corporation
- Remote: United States
- Full time
Utilization ManagementNurse Licensure Compact
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Vermont (USA)
- Full time
Care ManagementPatient EvaluationTreatment Planning
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Colorado (USA)
- Full time
Care ManagementNursingWorkers' CompensationClinical Practices
Physician Utilization Reviewer (Medical Director)
Physician Utilization Reviewer (Medical Director)
18 day ago
Medical Review Institute
- Remote: California (USA)
- Full time
Utilization ManagementClinical MedicineBasic Patient CareAdjudication
VP, Clinical Operations
VP, Clinical Operations
30+ days ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Clinical System OperationsMedicarePolicy Development
Lead Actuarial Analyst
Lead Actuarial Analyst
12 day ago
Cohere Health
- Remote: United States
- Full time
Prior AuthorizationFinancial ModelingHealthcare AnalyticsCost Benefit Analysis
Workforce Analyst
Workforce Analyst
5 day ago
SeatGeek
- Remote: United States
- Full time
AnalyticsWorkforce Planning
Utilization Review Specialist
Utilization Review Specialist
6 day ago
Charlie Health
- Remote: United States
- Full time
Insurance LawUtilization ManagementHospital ExperienceProject Management
Field Medical Director, Pain Management
Field Medical Director, Pain Management
4 day ago
New Century Health
- Remote: United States
- Full time
Clinical Data AnalysisAnalgesicsInterventional Pain ManagementUtilization Management
Field Medical Director, Radiology (Pulmonology Preferred)
Field Medical Director, Radiology (Pulmonology Preferred)
2 day ago
New Century Health
- Remote: United States
- Full time
Utilization ManagementMedical GuidelineClinical PracticesPeer Review
Field Medical Director, Oncology
Field Medical Director, Oncology
5 day ago
New Century Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical Oncology
Registered Nurse-Access Care- UMC-Remote Work-36 Hours-Midnights-Detroit
Registered Nurse-Access Care- UMC-Remote Work-36 Hours-Midnights-Detroit
30+ days ago
Henry Ford Health
- Remote: Michigan (USA)
- Full time
Utilization ManagementClinical MedicineRegulatory ComplianceCare Management
Concurrent Utilization Review Nurse (Work from Home)
Concurrent Utilization Review Nurse (Work from Home)
18 day ago
Bright Health
- Remote: California (USA)
- Full time
Utilization ManagementMedical GuidelineElectronic Health Record ApplicationsMedical Necessity
Full-Time RN Case Manager (UR Focused) | Texas
Full-Time RN Case Manager (UR Focused) | Texas
30+ days ago
Beam Healthcare
- Remote: Texas (USA)
- Full time
Care CoordinationCare ManagementDischarge PlanningUtilization Management
Corporate Medical Director - Medicare Grievances and Appeals (32-Hours)
Corporate Medical Director - Medicare Grievances and Appeals (32-Hours)
5 day ago
Humana
- Remote: United States
- Full time
Clinical AssessmentsMedical Necessity
Corporate Medical Director - Medicare Grievances and Appeals
Corporate Medical Director - Medicare Grievances and Appeals
Today
Humana
- Remote: United States
- Full time
Medical ManagementClinical Assessments
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Illinois (USA)
- Full time
Care ManagementNursingWorkers' CompensationBasic Patient Care
Concurrent Utilization Review Nurse (Work from Home)
Concurrent Utilization Review Nurse (Work from Home)
18 day ago
NeueHealth
- Remote: California (USA)
- Full time
Utilization ManagementMedical Guideline
Medical Director - Medical Oncology - eviCore - Remote
Medical Director - Medical Oncology - eviCore - Remote
23 day ago
Evernorth Health Services
- Remote: Ohio (USA)
- Full time
Evidence-Based PracticeClinical AssessmentsMedical OncologyCare Management
Program Director - Eating Disorder, Residential
Program Director - Eating Disorder, Residential
30+ days ago
Discovery Behavioral Health
- Remote: United States, California (USA)
- Full time
- Expert & Leadership (>10 years)
- 77 - 95K
Utilization ManagementGroup TherapyClinical Supervision
Field Medical Director, Interventional Cardiology (Remote)
Field Medical Director, Interventional Cardiology (Remote)
7 day ago
Evolent Health
- Remote: United States
- Part time
Clinical Data AnalysisUtilization ManagementCardiologyCardiology
Primary Therapist - Virtual - (East Coast - NY license)
Primary Therapist - Virtual - (East Coast - NY license)
30+ days ago
Monte Nido & Affiliates
- Remote: New York (USA)
- Full time
Group TherapyFamily Therapy
USRN
USRN
30+ days ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
- Mid-level (2-5 years)
Utilization Management
Managed Care Contract Manager
Managed Care Contract Manager
7 day ago
Advocate Aurora Health
- Remote: United States
- Full time
Contract ManagementReimbursement RegulationsManaged CareContract Management
Medical Director - Kansas
Medical Director - Kansas
30+ days ago
Centene Corporation
- Remote: United States, Kansas (USA)
- Full time
- Expert & Leadership (>10 years)
- 221 - 420K
Clinical GovernanceUtilization ManagementClinical AssessmentsClinical Quality Management
Child & Adolescent Psychiatry Utilization Review - (Remote - 1099) TX
Child & Adolescent Psychiatry Utilization Review - (Remote - 1099) TX
6 day ago
Medical Review Institute
- Remote: United States
- Freelance
Utilization ManagementChild And Adolescent Psychiatry
Care Manager, SCO
Care Manager, SCO
30+ days ago
Saviance Technologies Pvt. Ltd.
- Remote: Kentucky (USA), Massachusetts (USA)
Care CoordinationUtilization Management
Mental Health Therapist - Outpatient
Mental Health Therapist - Outpatient
30+ days ago
Discovery Behavioral Health
- Remote: United States, District of Columbia (USA), Washington (USA)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Nurse Practitioner (Ocean, New Jersey)
Nurse Practitioner (Ocean, New Jersey)
30+ days ago
CareCentrix
- Remote: New Jersey (USA)
- Full time
Utilization ManagementAcute Care NursingClinical AuditingBasic Patient Care
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
23 day ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
Medical ManagementClinical Assessments
Medical Case Management WC/UR Supervisor
Medical Case Management WC/UR Supervisor
30+ days ago
TRISTAR Insurance Group
- Remote: United States, South Carolina (USA)
- Full time
- Mid-level (2-5 years)
- 19 - 192K
Utilization Management
VP, PHCO Utilization Management - Medicare & Duals
VP, PHCO Utilization Management - Medicare & Duals
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 182 - 345K
Utilization ManagementCompliance ManagementNursing
Utilization Review - LPN or Social Worker - Kentucky License (Remote)
Utilization Review - LPN or Social Worker - Kentucky License (Remote)
30+ days ago
Morgan Stephens
- Remote: Kentucky (USA)
- Full time
Utilization ManagementMedical GuidelineClinical Assessments
Resource Management Coordinator
Resource Management Coordinator
17 day ago
GuidePoint Security
- Remote: United States
- Full time
Identity And Access ManagementProject ManagementResource Management
Virtual Utilization Review Specialist - PART TIME WEEKENDS
Virtual Utilization Review Specialist - PART TIME WEEKENDS
14 day ago
Ensemble Health Partners
- Remote: United States
- Part time
Utilization ManagementClinical AssessmentsMedical Necessity
Utilization Clinical Reviewer
Utilization Clinical Reviewer
30+ days ago
TriWest Healthcare Alliance
- Remote: United States, Arizona (USA)
- Full time
- Mid-level (2-5 years)
- 73 - 93K
Nurse Licensure CompactUtilization Management
UR Index Intake Coordinator - REMOTE! Mon- Fri 8:30am - 5:30pm PST
UR Index Intake Coordinator - REMOTE! Mon- Fri 8:30am - 5:30pm PST
30+ days ago
EK Health Services Inc.
- Remote: United States
- Expert & Leadership (>10 years)
- 30 - 32K
Case Management SystemsUtilization ManagementData EntryLaser Scanning
Senior Medical Director, Behavioral Health - New Mexico
Senior Medical Director, Behavioral Health - New Mexico
30+ days ago
Magellan Health
- Remote: United States
- Full time
- Senior (5-10 years)
- 222 - 422K
New Mexico Manager, Clinical Care Management (New Mexico - Active RN License)
New Mexico Manager, Clinical Care Management (New Mexico - Active RN License)
30+ days ago
Comagine Health
- Remote: United States
- Senior (5-10 years)
- 85 - 107K
Utilization ManagementNurse Licensure CompactFinancial ManagementTotal Quality Management
