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
366 jobs
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Part-time Pediatric / Family Medicine Medical Director - Florida
Part-time Pediatric / Family Medicine Medical Director - Florida
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Part time
Cost ContainmentUtilization ManagementClinical AssessmentsQuality Assessment
Field Medical Director, Interventional Cardiology (Remote)
Field Medical Director, Interventional Cardiology (Remote)
30+ days ago
New Century Health
- From: United States (Full Remote)
- Part time
Utilization ManagementCardiologyMedical Guideline
Field Medical Director, MSK Surgery
Field Medical Director, MSK Surgery
9 days ago
Evolent Health
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementClinical PracticesOrthopedics
Analyst, Performance Suite Analytics
Analyst, Performance Suite Analytics
19 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
SAS (Software)SQL (Programming Language)Data Visualization
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Fixed term
Utilization ManagementWorkers' Compensation ClaimsMedical NecessityOrthopedics
Behavioral Health Physician Reviewer (Medical Director)
Behavioral Health Physician Reviewer (Medical Director)
30+ days ago
Medical Review Institute
- From: United States, Dallas (Full Remote)
- Full time
PsychiatryClinical InformaticsUtilization ManagementClinical Assessments
Central Denials Unit Coordinator
Central Denials Unit Coordinator
30+ days ago
Russell Tobin
- From: United States, California (USA) (Full Remote)
- Fixed term
- Senior (5-10 years)
- 38 - 42K
ICD Coding (ICD-9/ICD-10)
Financial Analyst (Remote)
Financial Analyst (Remote)
30+ days ago
HR Prospect
- From: United States, New Jersey (USA) (Full Remote)
- Full time
- Junior (1-2 years)
Client Services
Remote Behavioral Medical Director
Remote Behavioral Medical Director
11 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
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- South Central
Medical Director- South Central
30+ days ago
Conviva Care Solutions
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 223 - 313K
Utilization ManagementClinical AssessmentsRegulatory Compliance
Independent Contractor-Hospital RN (Appeal Writing/Denials Mgmt) (Remote)
Independent Contractor-Hospital RN (Appeal Writing/Denials Mgmt) (Remote)
20 days ago
CorroHealth
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementClinical MedicineCare ManagementMedical Necessity
Medical Case Manager II - RN (Bilingual English-Spanish)
Medical Case Manager II - RN (Bilingual English-Spanish)
30+ days ago
CorVel Corporation
- From: United States, California (USA) (Full Remote)
- Mid-level (2-5 years)
- 58 - 89K
Nursing
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
18 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Field Medical Director-Radiation Oncology
Field Medical Director-Radiation Oncology
16 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementRadiation Oncology
Care Coordinator- CISC
Care Coordinator- CISC
30+ days ago
Magellan Health
- From: United States, New Mexico (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 50 - 75K
Nurse Case Manager Team Lead
Nurse Case Manager Team Lead
15 days ago
biBerk Business Insurance
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementWorkers' CompensationClinical Consulting
Medical Director - Medical Oncology - eviCore - Remote
Medical Director - Medical Oncology - eviCore - Remote
30+ days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
Evidence-Based PracticeClinical AssessmentsMedical OncologyUtilization Management
Care Manager (UM/UR) - Remote, Idaho Licensed
Care Manager (UM/UR) - Remote, Idaho Licensed
30+ days ago
Magellan Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
- 58 - 93K
Project CollaborationInpatient Care
Telephonic Medical Case Management (Workers' compensation)
Telephonic Medical Case Management (Workers' compensation)
26 days ago
TRISTAR Insurance Group
- From: United States (Full Remote)
- Full time
Care CoordinationCare ManagementWorkers' CompensationClinical Assessments
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
13 days ago
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization Management
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
Nurse Case Manager Team Lead
Nurse Case Manager Team Lead
16 days ago
biBerk Business Insurance
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementWorkers' CompensationClinical Consulting
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
Field Medical Director, Cardiology
Field Medical Director, Cardiology
12 days ago
New Century Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementCardiology
Financial Analyst (Remote)
Financial Analyst (Remote)
30+ days ago
HR Prospect
- From: United States, New Jersey (USA) (Full Remote)
- Full time
Client Services
Field Medical Director-Radiation Oncology
Field Medical Director-Radiation Oncology
15 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsClinical PracticesRadiation Oncology
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)
Senior Analyst, Client Analytics
Senior Analyst, Client Analytics
17 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
SAS (Software)SQL (Programming Language)AnalyticsData Visualization
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
Independent Contractor-Hospital RN (Appeal Writing/Denials Mgmt) (Remote)
Independent Contractor-Hospital RN (Appeal Writing/Denials Mgmt) (Remote)
20 days ago
CorroHealth
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementClinical MedicineCare ManagementMedical Necessity
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
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
Manager, UM Behavioral Health
Manager, UM Behavioral Health
18 days ago
Humana
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical MedicineCare Management
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
Care Coordinator - Inpatient RN
Care Coordinator - Inpatient RN
24 days ago
Premera Blue Cross
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementClinical MedicineNursing
Medical Director, Denials Management
Medical Director, Denials Management
30+ days ago
CorroHealth
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical MedicineMedflow EMR
Medical Director, MSK Surgery
Medical Director, MSK Surgery
30+ days ago
New Century Health
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AuditingOrthopedics
Healthcare - Medical Claim Review Nurse
Healthcare - Medical Claim Review Nurse
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementMedical Insurance ClaimsClinical Nursing
Senior Analyst, Client Analytics
Senior Analyst, Client Analytics
30+ days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
SAS (Software)SQL (Programming Language)AnalyticsData Visualization
Medical Director, Operations, Cardiovascular
Medical Director, Operations, Cardiovascular
30+ 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
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
