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
367 jobs
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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
Manager, Utilization Management
Manager, Utilization Management
11 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
Behavioral Health Clinician-Child Home Based
Behavioral Health Clinician-Child Home Based
8 days ago
Detroit Wayne Integrated Health Network
- From: Michigan (USA) (Full Remote)
- Full time
Treatment PlanningCare ManagementEducational AssessmentPsychotherapy
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
Senior Utilization Management Pharmacy Technician
Senior Utilization Management Pharmacy Technician
4 days ago
Devoted Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementMedicare
Clinical Operations Configuration Analyst II - GuidingCare
Clinical Operations Configuration Analyst II - GuidingCare
3 days ago
CareSource
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Dev TestingSystems DesignSystem ConfigurationCustomer Requirements Analysis
Utilization Management Nurse, Prior Authorization
Utilization Management Nurse, Prior Authorization
14 days ago
Brighton Health Plan Solutions
- From: North Carolina (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementMedical Record ManagementCare ManagementClinical 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
Integrated Care Management Nurse or Clinician
Integrated Care Management Nurse or Clinician
20 days ago
Cambia Health Solutions
- From: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care ManagementBehavioral HealthNurse Licensure CompactCare Management
Remote Medical Director - Pennsylvania
Remote Medical Director - Pennsylvania
30+ days ago
Centene Corporation
- From: Pennsylvania (USA) (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementQuality Assessment
Clinical Pharmacist
Clinical Pharmacist
25 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Medication Therapy ManagementUtilization ManagementHospital PharmacyPharmacology
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
Associate Medical Director, Cardiology
Associate Medical Director, Cardiology
5 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Value-Based CareCardiologyUtilization ManagementClinical Assessments
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
Non-Clinical Coding and OASIS Review Manager
Non-Clinical Coding and OASIS Review Manager
30+ days ago
BAYADA Home Health Care
- From: Texas (USA) (Full Remote)
- Full time
MOQ (Software)
Utilization Review Medical Director
Utilization Review Medical Director
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
Clinical Data AnalysisUtilization Management
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
Team Allocation Manager at Uptech
Team Allocation Manager at Uptech
12 days ago
Uptech
- From: Ukraine, Kyiv (Full Remote)
- Full time
- Entry-level / graduate
Business OperationsProject ManagementResource Management
Clinical Reviewer III (ECSS), Remote in LA
Clinical Reviewer III (ECSS), Remote in LA
18 days ago
Magellan Health
- From: Louisiana (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical AuditingBehavioral HealthUtilization Management
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
Care Manager, Health Plan - Licensed/Remote in CA
Care Manager, Health Plan - Licensed/Remote in CA
30+ days ago
Magellan Health
- From: California (USA) (Full Remote)
- Full time
Health Risk AssessmentsBehavioral HealthCare ManagementClinical Medicine
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
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
Remote Medical Director
Remote Medical Director
5 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsMedical ManagementQuality Assessment
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
Transition of Care Nurse
Transition of Care Nurse
3 days ago
Health Plan of San Joaquin
- From: United States, French Camp (Full Remote)
- Full time
Care ManagementDischarge PlanningUtilization Management
Assistant Nurse Manager-Case Management Full Time 40 hours
Assistant Nurse Manager-Case Management Full Time 40 hours
5 days ago
Bristol Hospital and Health Care Group, Inc.
- From: United States, Bristol (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementDischarge PlanningUtilization ManagementBasic Patient Care
Utilization Review Nurse
Utilization Review Nurse
6 days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementDischarge PlanningInterQual Criteria
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
Care Manager (ECSS), Remote Louisiana
Care Manager (ECSS), Remote Louisiana
18 days ago
Magellan Health
- From: Louisiana (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementMental HealthCrisis Intervention
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
30+ days ago
Optimize Health
- From: Michigan (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Motivational InterviewingNurse Licensure CompactBiomedical InstrumentationTreatment Planning
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
Medical Director
Medical Director
12 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: Connecticut (USA), Delaware (USA), New Jersey (USA), New York (USA), Pennsylvania (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementHealth PoliciesCare ManagementTotal Quality 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
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
Field Medical Director, MSK (Spine) Surgery
Field Medical Director, MSK (Spine) Surgery
11 days ago
New Century Health
- From: United States (Full Remote)
- Part time
Spinal FusionUtilization ManagementMedical GuidelineClinical Data Analysis
Medical Director - Gastroenterology- Evicore by Evernorth- Remote
Medical Director - Gastroenterology- Evicore by Evernorth- Remote
3 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Evidence-Based PracticeClinical AssessmentsClinical AssessmentsGastroenterology
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
30+ days ago
Concentra
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Care Management Associate I (Appeals)
Care Management Associate I (Appeals)
30+ days ago
MetroPlusHealth
- From: New York (USA) (Full Remote)
- Full time
ICD 503CppunitMedical Abbreviations
Behavioral Health Clinical Liaison
Behavioral Health Clinical Liaison
19 days ago
Centene Corporation
- From: Arizona (USA) (Full Remote)
- Full time
- Senior (5-10 years)
AnalyticsBehavioral HealthUtilization ManagementMedical Science
Utilization Clinical Reviewer
Utilization Clinical Reviewer
30+ days ago
TriWest Healthcare Alliance
- From: United States, Arizona (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 73 - 93K
Nurse Licensure CompactUtilization Management
Payment Integrity Manager
Payment Integrity Manager
30+ days ago
CorVel Corporation
- From: United States, Texas (USA) (Full Remote)
- Senior (5-10 years)
- 5 - 121K
Auditing
