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
391 jobs :
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Case Manager, Rare Disease (West Coast)
Case Manager, Rare Disease (West Coast)
30+ days ago
Alnylam Pharmaceuticals
- Full time
- Remote: United States, New Zealand, United Kingdom, Massachusetts (USA)
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Utilization Management Behavioral Health Professional
Utilization Management Behavioral Health Professional
13 day ago
Humana
- Full time
- 63 - 87K
- Remote: United States, Indiana (USA), Ohio (USA), Tennessee (USA), West Virginia (USA)
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Medical Director (Behavioral Health) - Remote
Medical Director (Behavioral Health) - Remote
30+ days ago
Magellan Health
- Full time
- 200 - 360K
- Remote: United States
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UM Administration CoordinatorUM Administration Coordinator
4 day ago
Humana
- Full time
- 37 - 51K
- Remote: United States
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RN Case Manager II
RN Case Manager II
30+ days ago
CorVel Corporation
- Full time
- 63 - 96K
- Remote: United States, Oregon (USA)
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Utilization Reviewer (Remote)
Utilization Reviewer (Remote)
9 day ago
The Emily Program
- Remote: United States, Minnesota (USA)
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Case Manager - Utilization Review - PRN - Days
Case Manager - Utilization Review - PRN - Days
14 day ago
Trinity Health
- Part time
- Remote: United States, Iowa (USA)
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Clinician - Youth and Family (Full Time)
Clinician - Youth and Family (Full Time)
8 day ago
Prime Healthcare
- Full time
- Remote: United States, New Jersey (USA)
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Post Acute Utilization Management Nurse (Intermountain Region)Post Acute Utilization Management Nurse (Intermountain Region)
30+ days ago
Humana
- Full time
- 69 - 96K
- Remote: United States, Arizona (USA), Colorado (USA), District of Columbia (USA), Idaho (USA), New Mexico (USA), Oregon (USA), Wyoming (USA)
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Internal Medicine Physician Telecommute Medical Review Stream
Internal Medicine Physician Telecommute Medical Review Stream
30+ days ago
Concentra
- Full time
- Remote: United States, New Jersey (USA)
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Prior Authorization Medical Clinician
Prior Authorization Medical Clinician
28 day ago
WellSense Health Plan
- Full time
- Remote: United States, Massachusetts (USA)
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Senior Inpatient Facility Coder
Senior Inpatient Facility Coder
30+ days ago
TriWest Healthcare Alliance
- Full time
- 73 - 94K
- Remote: United States, Arizona (USA)
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RN II, Primary Nurse Care
RN II, Primary Nurse Care
9 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Full time
- 76 - 102K
- Remote: United States, New Jersey (USA)
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Utilization Clinical Reviewer - AppealsUtilization Clinical Reviewer - Appeals
30+ days ago
TriWest Healthcare Alliance
- Full time
- 73 - 93K
- Remote: United States, Arizona (USA)
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RN Telephonic Case Manager IRN Telephonic Case Manager I
11 day ago
CorVel Corporation
- 60 - 90K
- Remote: United States, Minnesota (USA)
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Provider Engagement Account Manager (Health-Related Social Needs)
Provider Engagement Account Manager (Health-Related Social Needs)
11 day ago
Centene Corporation
- Internships
- 54 - 97K
- Remote: United States, Illinois (USA)
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Manager, Case Management Specialty ProgramsManager, Case Management Specialty Programs
14 day ago
TriWest Healthcare Alliance
- Full time
- 104 - 133K
- Remote: United States, Azerbaijan, Arizona (USA)
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Registered Nurse (RN) - Case Manager
Registered Nurse (RN) - Case Manager
5 day ago
Foundation Health Partners
- Full time
- Remote: United States, Alaska (USA)
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Remote Behavioral Medical Director - CaliforniaRemote Behavioral Medical Director - California
30+ days ago
Centene Corporation
- Full time
- 227 - 431K
- Remote: United States, California (USA)
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RN Care Management Coordinator #36314
RN Care Management Coordinator #36314
30+ days ago
Contemporary Staffing Solutions
- 64 - 72K
- Remote: United States
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Medical Director - Gastroenterology- Evicore by Evernorth- Remote
Medical Director - Gastroenterology- Evicore by Evernorth- Remote
30+ days ago
Evernorth Health Services
- Full time
- 196 - 328K
- Remote: United States
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Care Manager BH (CA licensure) - RemoteCare Manager BH (CA licensure) - Remote
19 day ago
Magellan Health
- Full time
- 58 - 93K
- Remote: United States
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Behavioral Health 24/7 Clinical Navigation and Support Care Manager - Evernorth Health Services- Work at Home
Behavioral Health 24/7 Clinical Navigation and Support Care Manager - Evernorth Health Services- Work at Home
30+ days ago
The Cigna Group
- Full time
- 65 - 109K
- Remote: United States
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Nurse Case Representative
Nurse Case Representative
12 day ago
Plymouth Rock Assurance
- Full time
- 3 - 3K
- Remote: United States, United Kingdom, New Jersey (USA)
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Clinical Supervisor-Critical Incidents (Full Time Remote, North Carolina Based)
Clinical Supervisor-Critical Incidents (Full Time Remote, North Carolina Based)
5 day ago
Alliance Health
- Full time
- 75 - 100K
- Remote: United States, Arkansas (USA), North Carolina (USA)
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Nurse Medical Management Sr
Nurse Medical Management Sr
3 day ago
Elevance Health
- Full time
- Remote: United States, Florida (USA)
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Utilization Review Nurse- FT (9a-9p ES) 8HR & 12HR Shifts
Utilization Review Nurse- FT (9a-9p ES) 8HR & 12HR Shifts
19 day ago
Netsmart
- Full time
- Remote: United States
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Telecommute Medical Review Stream PhysicianTelecommute Medical Review Stream Physician
30+ days ago
Concentra
- Freelance
- Remote: United States, Laos, Louisiana (USA)
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Part Time Perinatal OBGYN Medical DirectorPart Time Perinatal OBGYN Medical Director
30+ days ago
Centene Corporation
- Part time
- 217 - 412K
- Remote: United States, Mississippi (USA)
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Care Manager Behavioral Health - LA License Required - Remote US
Care Manager Behavioral Health - LA License Required - Remote US
30+ days ago
VetJobs
- Full time
- 58 - 93K
- Remote: United States
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Associate Medical Director, Orthopedic Spine Surgery 
Associate Medical Director, Orthopedic Spine Surgery
30+ days ago
Cohere Health
- Full time
- Remote: United States
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Neurologist Telecommute Medical Review StreamNeurologist Telecommute Medical Review Stream
30+ days ago
Concentra
- Full time
- Remote: United States, New Jersey (USA)
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Louisiana-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
Louisiana-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
30+ days ago
Dane Street, LLC
- Full time
- Remote: United States, Laos
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RN II, Primary Nurse CareRN II, Primary Nurse Care
30+ days ago
Horizon Blue Cross Blue Shield of New Jersey
- Full time
- 76 - 102K
- Remote: United States, New Jersey (USA)
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Remote Addiction Behavioral Medical DirectorRemote Addiction Behavioral Medical Director
30+ days ago
Centene Corporation
- Full time
- 227 - 431K
- Remote: United States
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Sr. Charge Audit Nurse
Sr. Charge Audit Nurse
30+ days ago
Johns Hopkins Medicine
- Full time
- Remote: United States, Maryland (USA)
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Remote Child / Adolescent Behavioral Medical DirectorRemote Child / Adolescent Behavioral Medical Director
19 day ago
Centene Corporation
- Full time
- 227 - 431K
- Remote: United States
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Physician Medical Director
Physician Medical Director
30+ days ago
relode
- Full time
- Remote: United States
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Director, Operational Compliance and Audit
Director, Operational Compliance and Audit
30+ days ago
UST
- Full time
- 128 - 168K
- Remote: United States
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Principal CAD Engineer
Principal CAD Engineer
30+ days ago
Ventana Micro Systems
- Full time
- 115 - 268K
- Remote: United States
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Remote Care Management Nurse (Future Opportunities)
Remote Care Management Nurse (Future Opportunities)
17 day ago
Cambia Health Solutions
- Freelance
- 64 - 105K
- Remote: United States, District of Columbia (USA), Idaho (USA), Iowa (USA), Maine (USA), Massachusetts (USA), Oregon (USA), Utah (USA), Washington (USA)
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UM Administration Coordinator (Kentucky Medicaid)
UM Administration Coordinator (Kentucky Medicaid)
13 day ago
Conviva Care Solutions
- Full time
- 37 - 51K
- Remote: United States, Kentucky (USA), Virginia (USA)
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Board Certified Pulmonologist Physician Advisor, Disability Peer ReviewBoard Certified Pulmonologist Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- Fixed term
- Remote: United States
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Manager, Utilization Management (Concurrent PAC)Manager, Utilization Management (Concurrent PAC)
5 day ago
Centene Corporation
- Full time
- 83 - 155K
- Remote: United States
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Discharge PlannerDischarge Planner
5 day ago
Prime Healthcare
- Full time
- 42 - 57K
- Remote: United States, California (USA)
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Care Management Social WorkerCare Management Social Worker
13 day ago
Cambia Health Solutions
- Full time
- 64 - 105K
- Remote: United States, District of Columbia (USA), Idaho (USA), Iowa (USA), Maine (USA), Massachusetts (USA), Oregon (USA), Utah (USA), Washington (USA)
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Utilization Review Author
Utilization Review Author
10 day ago
R1 RCM
- Full time
- 50 - 73K
- Remote: United States
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Physician Advisor Denials Management
Physician Advisor Denials Management
30+ days ago
CommonSpirit Health
- Full time
- Remote: United States, California (USA)
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Medical Director Care Mgmt - Part Time - Florida Blue Medicare
Medical Director Care Mgmt - Part Time - Florida Blue Medicare
30+ days ago
Florida Blue
- Part time
- 19 - 175K
- Remote: United States
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Senior Analyst, InsightsSenior Analyst, Insights
6 day ago
Cohere Health
- 28 - 28K
- Remote: United States
