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
557 jobs
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Utilization Review Manager - Clinical Performance - FT - Days
Utilization Review Manager - Clinical Performance - FT - Days
2 days ago
Stormont Vail Health
- From: United States, Topeka (Full Remote)
- Full time
- Senior (5-10 years)
- 83 - 83K
Performance ImprovementUtilization ManagementRegulatory ComplianceCare Management
Manager Case Management Long-term Care - Delaware
Manager Case Management Long-term Care - Delaware
18 days ago
Highmark Health
- From: Delaware (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementRegulatory ComplianceAnalytics
Clinical Appeals Coordinator
Clinical Appeals Coordinator
22 days ago
Centene Corporation
- From: Oregon (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementMedical Necessity
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
Physician Advisor, Utilization Review/Management
Physician Advisor, Utilization Review/Management
17 days ago
Sutter Health
- From: Ohio (USA) (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementDiagnosis-Related GroupHealthcare Delivery ModelsCoding Theory
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
Part-Time Weekend Medical Director (Remote)
Part-Time Weekend Medical Director (Remote)
17 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)
- Part time
- Senior (5-10 years)
Utilization ManagementMedical ManagementClinical AssessmentsCare Management
Care Manager – Behavioral Health
Care Manager – Behavioral Health
10 days ago
ICONMA
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementBehavioral HealthCrisis InterventionQuality Assessment
Remote Medical Director - Pennsylvania
Remote Medical Director - Pennsylvania
30+ days ago
Centene Corporation
- From: Pennsylvania (USA) (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementQuality Assessment
Medical Director - Pediatric Cardiology
Medical Director - Pediatric Cardiology
4 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Cardiology
Medical Management Nurse
Medical Management Nurse
10 days ago
Elevance Health
- From: Florida (USA) (Full Remote)
- Full time
- Entry-level / graduate
Nursing EthicsCare ManagementClinical Assessments
Medical Director - Cardiology
Medical Director - Cardiology
4 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 203 - 203K
Cardiovascular DiseaseClinical Assessments
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
CISC Care Coordinator, Licensed
CISC Care Coordinator, Licensed
30+ days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationHealth Risk AssessmentsBehavioral HealthCross-Functional Collaboration
Utilization Review Nurse 
Utilization Review Nurse
10 days ago
US Tech Solutions
- From: Illinois (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementManaged CarePrior Authorization
Medical Director - Pediatric Cardiology
Medical Director - Pediatric Cardiology
4 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 203 - 203K
Evidence-Based PracticeCardiologyClinical AssessmentsClinical Assessments
Physician Reviewer - Neurological Surgery (Utilization Review) LA
Physician Reviewer - Neurological Surgery (Utilization Review) LA
18 days ago
Dane Street, LLC
- From: Louisiana (USA) (Full Remote)
- Fixed term
NeurosurgeryMedical Licensing (Health Law)
Medical Director - Colon & Rectal Surgery- EviCore - Remote
Medical Director - Colon & Rectal Surgery- EviCore - Remote
4 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Abdominal SurgeryClinical AssessmentsClinical 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)
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
CISC Care Coordinator, Licensed
CISC Care Coordinator, Licensed
22 days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationHealth Risk AssessmentsCross-Functional CollaborationCare Planning
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
Physician Reviewer- REMOTE
Physician Reviewer- REMOTE
16 days ago
Sierra Solutions Group
- From: Arizona (USA), Florida (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Healthcare Delivery ModelsClinical AssessmentsMedical NecessityPeer Review
USRN (Utilization Management)
USRN (Utilization Management)
15 days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
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
Physician Advisor, Utilization Review/Management
Physician Advisor, Utilization Review/Management
18 days ago
Sutter Health
- From: Ohio (USA) (Full Remote)
- Part time
Utilization ManagementCare ManagementMedical NecessityClinical Documentation
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
Utilization Management Clinician I
Utilization Management Clinician I
22 days ago
Community Health Plan of Washington
- From: Washington (USA) (Full Remote)
- Full time
- Entry-level / graduate
Care CoordinationUtilization ManagementClinical Assessments
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
User Experience Designer
User Experience Designer
4 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- 85 - 85K
UsabilityUsability TestingUser ResearchFigma (Design Software)
Medical Director
Medical Director
30+ days ago
Jefferson Health
- From: Pennsylvania (USA) (Full Remote)
- Part time
Utilization ManagementCare ManagementClinical ConsultingPharmacy Operations
Psychologist Reviewer
Psychologist Reviewer
22 days ago
Centene Corporation
- From: Georgia (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kentucky (USA), Nebraska (USA), New Hampshire (USA), South Carolina (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthPsychometrics
Care Coordinator- CISC
Care Coordinator- CISC
30+ days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationHealth Risk Assessments
Middle Revenue Services Director
Middle Revenue Services Director
Just posted
Essentia Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 119 - 119K
Utilization ManagementRevenue ManagementClinical Documentation
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
Clinical Director
Clinical Director
4 days ago
Sedgwick Ireland
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 106 - 106K
Utilization ManagementMedical ManagementCare Management
Senior Analyst, Healthcare Analytics Consultant
Senior Analyst, Healthcare Analytics Consultant
9 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
SAS (Software)SQL (Programming Language)Data Visualization
Physician Reviewer- REMOTE
Physician Reviewer- REMOTE
18 days ago
Sierra Solutions Group
- From: Florida (USA), Texas (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Regulatory ComplianceHealthcare Delivery ModelsClinical AssessmentsPeer Review
Manager Case Management Long-term Care - Delaware
Manager Case Management Long-term Care - Delaware
18 days ago
Highmark Health
- From: Delaware (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementRegulatory Compliance
Provider Engagement Account Manager
Provider Engagement Account Manager
15 days ago
Centene Corporation
- From: Alabama (USA) (Full Remote)
- Full time
Provider ModelAccount ManagementNetwork CongestionQuality Assessment
Field Medical Director, Cardiology
Field Medical Director, Cardiology
10 days ago
Evolent Health
- From: United States (Full Remote)
- Part time
Clinical Data AnalysisUtilization ManagementMedical GuidelineCardiology
Field Medical Director (MDDO)
Field Medical Director (MDDO)
10 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementMedical Guideline
Field Medical Director, Oncology
Field Medical Director, Oncology
10 days ago
Evolent Health
- From: North America (Full Remote)
- Part time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementMedical Oncology
Medical Director - Cardiology
Medical Director - Cardiology
4 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Cardiovascular DiseaseClinical Assessments
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
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
