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
484 jobs
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Care Management Associate I (Appeals)
Care Management Associate I (Appeals)
30+ days ago
NYC Health + Hospitals
- From: New York (USA) (Full Remote)
- Full time
ICD 503CppunitMedical Abbreviations
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
Provider Engagement Account Manager
Provider Engagement Account Manager
24 days ago
Centene Corporation
- From: Illinois (USA) (Full Remote)
- Full time
REMOTE - Associate Medical Director, Health Plan
REMOTE - Associate Medical Director, Health Plan
6 days ago
Martin's Point Health Care
- From: Arkansas (USA), Connecticut (USA), Delaware (USA), Florida (USA), Georgia (USA), Indiana (USA), Kentucky (USA), Louisiana (USA), Maine (USA), Maryland (USA), Massachusetts (USA), Minnesota (USA), Missouri (USA), New Hampshire (USA), New Jersey (USA) (Full Remote)
- Full time
- Entry-level / graduate
Clinical GovernanceUtilization ManagementHealthcare StrategyHealth Policy Development
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Texas Licensed Physician Reviewer - Neurological Surgery
Texas Licensed Physician Reviewer - Neurological Surgery
30+ days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Fixed term
Data Analyst II Medical Economics
Data Analyst II Medical Economics
28 days ago
Centene Corporation
- From: Florida (USA), Illinois (USA), Michigan (USA), Missouri (USA) (Full Remote)
- Full time
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
Remote Market Place Medical Director
Remote Market Place Medical Director
30+ days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
Senior Child Behavioral Medical Director-New York
Senior Child Behavioral Medical Director-New York
25 days ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
Psychiatrist Physician Reviewer PRN Remote (Within Illinois)
Psychiatrist Physician Reviewer PRN Remote (Within Illinois)
9 days ago
CNSI
- From: Illinois (USA) (Full Remote)
- Full time
- 0 - 0K
Clinical GovernanceGeneral PractitionerUtilization Management
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)
30+ days ago
CNSI
- From: Illinois (USA) (Full Remote)
- Freelance
UR Specialist: Remote must be in MST or PST
UR Specialist: Remote must be in MST or PST
30+ days ago
Alsana
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementPatient Progress NotesMedical Necessity
Non-Clinical Coding and OASIS Review Manager
Non-Clinical Coding and OASIS Review Manager
9 days ago
BAYADA Home Health Care
- From: Florida (USA) (Full Remote)
- Full time
- 62 - 62K
Utilization Management Registered Nurse, MI - Remote
Utilization Management Registered Nurse, MI - Remote
30+ days ago
McLaren Health Care
- From: Michigan (USA) (Full Remote)
- Full time
Utilization ManagementNursingManaged CareCare Management
Member & Recipient Svcs Clinician (Remote NC, Thur-Sat, 9a-9p)
Member & Recipient Svcs Clinician (Remote NC, Thur-Sat, 9a-9p)
30+ days ago
Vaya Health
- From: North Carolina (USA) (Full Remote)
- Full time
Utilization Review Nurse I
Utilization Review Nurse I
27 days ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
Quality Management Monitoring Specialist (Remote-NC)
Quality Management Monitoring Specialist (Remote-NC)
30+ days ago
Partners Health Management
- From: North Carolina (USA) (Full Remote)
- Full time
VP, Clinical Operations
VP, Clinical Operations
30+ days ago
TriWest Healthcare Alliance
- From: Arizona (USA) (Full Remote)
- Full time
General SurgeryMedical ManagementPolicy Development
Manager, Technical Consulting
Manager, Technical Consulting
10 days ago
Okta
- From: Canada (Full Remote)
- Full time
- Senior (5-10 years)
- 149 - 149K
Identity And Access ManagementCustomer Engagement
Utilization Management Assistant
Utilization Management Assistant
7 days ago
Guidehouse
- From: United States (Full Remote)
- Full time
- 49 - 49K
Utilization Management
Utilization Management Clinician I
Utilization Management Clinician I
30+ days ago
Community Health Plan of Washington
- From: Washington (USA) (Full Remote)
- Full time
Manager, Technical Consulting
Manager, Technical Consulting
30+ days ago
Okta
- From: Canada (Full Remote)
- Full time
Remote Medical Director Indiana
Remote Medical Director Indiana
22 days ago
Centene Corporation
- From: Indiana (USA) (Full Remote)
- Full time
Associate Medical Director Orthopedic Spine
Associate Medical Director Orthopedic Spine
29 days ago
Elevance Health
- From: California (USA), Florida (USA), Georgia (USA), Indiana (USA), New York (USA) (Full Remote)
- Full time
Registered Nurse, Case Manager & Care Coordinator Team Lead
Registered Nurse, Case Manager & Care Coordinator Team Lead
24 days ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
Group Health Medical Director
Group Health Medical Director
30+ days ago
Dane Street, LLC
- From: Florida (USA) (Full Remote)
- Fixed term
Utilization Management Nurse – Behavioral Health Focus (Remote)
Utilization Management Nurse – Behavioral Health Focus (Remote)
30+ days ago
Morgan Stephens
- From: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), New York (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthNurse Licensure Compact
Pediatric & Family Medicine Medical Director - Florida
Pediatric & Family Medicine Medical Director - Florida
20 days ago
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
Sr VP Medical Director (Hourly)
Sr VP Medical Director (Hourly)
7 days ago
EFI Global
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
- 0 - 0K
Evidence-Based PracticeUtilization ManagementMedical ManagementClinical Quality Management
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
Medical Director - Medical Oncology - EviCore - Remote
Medical Director - Medical Oncology - EviCore - Remote
22 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
MEdical Review Nurse II - SNF/MDS
MEdical Review Nurse II - SNF/MDS
13 days ago
Performant Corp
- From: United States (Full Remote)
- Full time
VP, Clinical Operations
VP, Clinical Operations
30+ days ago
TriWest Healthcare Alliance
- From: Arizona (USA) (Full Remote)
- Full time
Clinical System OperationsMedicarePolicy Development
Clinical Appeals Nurse
Clinical Appeals Nurse
30+ days ago
CareSource
- From: Nevada (USA) (Full Remote)
- Full time
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
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
Medical Director - Mid West Region
Medical Director - Mid West Region
24 days ago
Humana
- From: United States (Full Remote)
- Full time
Healthcare - Care Review Clinician II
Healthcare - Care Review Clinician II
23 days ago
Saviance Technologies Pvt. Ltd.
- From: Texas (USA) (Full Remote)
- Full time
USRN (Utilization Review)
USRN (Utilization Review)
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Payment Integrity Analyst III
Payment Integrity Analyst III
30+ days ago
CERIS
- From: Texas (USA) (Full Remote)
- Full time
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
Medical Director
Medical Director
30+ 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
Managed Care Contracting Analyst - Remote
Managed Care Contracting Analyst - Remote
10 days ago
Healthcare Outcomes Performance Co. (HOPCo)
- From: Arizona (USA) (Full Remote)
- Full time
Financial AnalysisAnalyticsRevenue ManagementHealth Care Industry
Actively Practicing Physicians & PA's | Remote Medical Case & Peer Reviewers (1099)
Actively Practicing Physicians & PA's | Remote Medical Case & Peer Reviewers (1099)
23 days ago
LivantaLLC
- From: United States (Full Remote)
- Freelance
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
Manager Case Management Long-term Care - Delaware
Manager Case Management Long-term Care - Delaware
30+ days ago
Highmark Health
- From: Delaware (USA) (Full Remote)
- Full time
Physician Reviewer Physical Medicine and Rehabilitation (Utilization Review)
Physician Reviewer Physical Medicine and Rehabilitation (Utilization Review)
9 days ago
Dane Street, LLC
- From: New York (USA) (Full Remote)
- Full time
Workers' Compensation ClaimsPhysical Medicine And RehabilitationMedical Licensing (Health Law)
