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
336 jobs
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Medical Director, Behavioral Health Services - Washington
Medical Director, Behavioral Health Services - Washington
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical GovernanceBehavioral HealthPolicy DevelopmentQuality Assessment
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Field Medical Director, Oncology
Field Medical Director, Oncology
30 days ago
New Century Health
- From: United States (Full Remote)
- Part time
Clinical Data AnalysisUtilization ManagementMedical Oncology
Remote Registered Nurse (RN) Case Manager
Remote Registered Nurse (RN) Case Manager
30+ days ago
PharmaCord
- From: United States, Colorado (USA) (Full Remote)
- Mid-level (2-5 years)
Clinical Nursing
Nurse Liaison - Post Acute Care Rochester, NY Sign on Bonus!
Nurse Liaison - Post Acute Care Rochester, NY Sign on Bonus!
30+ days ago
CareCentrix
- From: United States, New York (USA) (Full Remote)
- Full time
Utilization ManagementNursing
Weekend RN Reviewer
Weekend RN Reviewer
30+ days ago
Cohere Health
- From: United States (Full Remote)
- Full time
Utilization ManagementNursingClinical Medicine
Financial Analyst (Remote)
Financial Analyst (Remote)
30+ days ago
HR Prospect
- From: United States, New Jersey (USA) (Full Remote)
- Full time
Client Services
Senior Analyst, Client Analytics
Senior Analyst, Client Analytics
19 days ago
New Century Health
- From: United States (Full Remote)
- Full time
SAS (Software)SQL (Programming Language)AnalyticsData Visualization
Healthcare - Medical Claim Review Nurse
Healthcare - Medical Claim Review Nurse
20 days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementMedical Insurance ClaimsClinical Nursing
Remote Licensed Clinical Therapist
Remote Licensed Clinical Therapist
30+ days ago
Monte Nido
- From: United States (Full Remote)
- Freelance
PsychotherapyClinical Social WorkUtilization ManagementEmotional Disorders
Field Medical Director- (MD/DO)
Field Medical Director- (MD/DO)
30+ days ago
Evolent Health
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical PracticesMedical Licensing (Health Law)
Medical Director, LTSS - Delaware
Medical Director, LTSS - Delaware
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementQuality AssessmentCare Coordination
Virtual Utilization Review Specialist
Virtual Utilization Review Specialist
30+ days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical Necessity
Psychiatric Residential Treatment Facility (PRTF) Care Manager - BH
Psychiatric Residential Treatment Facility (PRTF) Care Manager - BH
30+ days ago
Magellan Health
- From: United States (Full Remote)
- Full time
Discharge PlanningUtilization ManagementCrisis InterventionClinical Data Analysis
Remote Marketplace Medical Director
Remote Marketplace Medical Director
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Physician Reviewer - Psychiatry (Utilization Review)
Physician Reviewer - Psychiatry (Utilization Review)
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Fixed term
Workers' Compensation ClaimsMedical Licensing (Health Law)
Registered Nurse (RN), Utilization Review MediGold Health Plan - Remote
Registered Nurse (RN), Utilization Review MediGold Health Plan - Remote
30+ days ago
Trinity Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical AssessmentsUtilization Management
Denials Management Specialist (RN required), Per Diem. Remote within local geography.
Denials Management Specialist (RN required), Per Diem. Remote within local geography.
30+ days ago
St. Luke's University Health Network
- From: United States, Pennsylvania (USA) (Full Remote)
- Freelance
- Mid-level (2-5 years)
Board Certified Hematology Physician Advisor, Disability Peer Review
Board Certified Hematology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Utilization ManagementHematologyMedical NecessityMedical Testing
Clinical Documentation Specialist- WMCG
Clinical Documentation Specialist- WMCG
30+ days ago
Wellstar Health System
- From: United States (Full Remote)
- Full time
Clinical Documentation
Board Certified Dermatology Physician Advisor, Disability Peer Review
Board Certified Dermatology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Disability ManagementClinical AssessmentsDermatology
Pediatrician - Utilization Review - (Remote 1099 - Independent Contractor)
Pediatrician - Utilization Review - (Remote 1099 - Independent Contractor)
30+ days ago
Medical Review Institute
- From: United States (Full Remote)
- Freelance
Utilization ManagementClinical AssessmentsPediatrics
Medical Director, Denials Management
Medical Director, Denials Management
26 days ago
CorroHealth
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical MedicineMedflow EMR
Medical Director, MSK Surgery
Medical Director, MSK Surgery
29 days ago
New Century Health
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AuditingOrthopedics
Medical Director, Operations, Cardiovascular
Medical Director, Operations, Cardiovascular
26 days ago
Cohere Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisClinical InformaticsCardiologyManaged Care
Physician Advisor
Physician Advisor
30+ days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Full time
Utilization ManagementData Management
Medical Principal - Oncologist
Medical Principal - Oncologist
30+ days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
Oncology
Non-Clinical Coding and OASIS Review Manager
Non-Clinical Coding and OASIS Review Manager
30+ days ago
BAYADA Home Health Care
- From: United States (Full Remote)
- Full time
Medical Coding
Nurse Case Manager II
Nurse Case Manager II
30+ days ago
US Tech Solutions
- From: United States (Full Remote)
- Fixed term
- Mid-level (2-5 years)
Utilization ManagementClinical Practices
Ophthalmology - Remote 1099 Utilization Review Work
Ophthalmology - Remote 1099 Utilization Review Work
30+ days ago
Medical Review Institute
- From: United States (Full Remote)
- Freelance
Utilization ManagementClinical AssessmentsBasic Patient CareOphthalmology
Utilization Management Physician Reviewer
Utilization Management Physician Reviewer
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Full time
Utilization ManagementMedical NecessityClinical Consulting
Utilization Review Nurse - RN
Utilization Review Nurse - RN
30+ days ago
Curative
- From: United States (Full Remote)
- Full time
Utilization ManagementDischarge PlanningCare Management
VP, Centerwell PCO, IPA CMO
VP, Centerwell PCO, IPA CMO
30+ days ago
CenterWell Senior Primary Care
- From: United States (Full Remote)
- Full time
Clinical GovernanceValue-Based CareBasic Patient CareTeam Nursing
Board Certified Endocrinologist Physician Advisor, Disability Peer Review
Board Certified Endocrinologist Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Peer-To-PeerClinical Consulting
Clinical Quality Assurance Coordinator
Clinical Quality Assurance Coordinator
30+ days ago
AllMed Healthcare Management
- From: United States, Oregon (USA) (Full Remote)
- Full time
- Expert & Leadership (>10 years)
Nurse Licensure Compact
Utilization Management Supervisor
Utilization Management Supervisor
21 days ago
ProgenyHealth, LLC
- From: Anywhere (Full Remote)
- Full time
Utilization ManagementNursing AdministrationClinical Assessments
