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
372 jobs
Sort by:
Transitions of Care - RN, 100% Virtual, CareBridge (Bilingual Spanish)
Transitions of Care - RN, 100% Virtual, CareBridge (Bilingual Spanish)
Today
Elevance Health
- From: Colorado (USA), Delaware (USA), Florida (USA), Georgia (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Maine (USA), Maryland (USA), Missouri (USA), North Carolina (USA), Ohio (USA), Tennessee (USA) (Full Remote)
- Full time
Behavior EvaluationPatient Education And CounselingNurse Licensure CompactHealth And Wellness Coaching
Clinical Appeals Specialist RN (Remote NC)
Clinical Appeals Specialist RN (Remote NC)
Today
Vaya Health
- From: North Carolina (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementAppealsMedicaid
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
Today
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
Utilization ManagementNurse Licensure CompactMedical Necessity
Clinician Reviewer RN OP Temp
Clinician Reviewer RN OP Temp
1 day ago
US Tech Solutions
- From: Massachusetts (USA) (Full Remote)
- Fixed term
Utilization ManagementClinical InformaticsCare ManagementMedical Necessity
Medical Reviewer LPN
Medical Reviewer LPN
1 day ago
Health Care Service Corporation
- From: Montana (USA), New Mexico (USA), Oklahoma (USA), Tennessee (USA), Texas (USA) (Full Remote)
- Full time
Utilization ManagementNurse Licensure CompactClinical Assessments
Edtech Consultant - Central and Eastern Europe (CEE)
Edtech Consultant - Central and Eastern Europe (CEE)
Today
Matific
- From: Hungary, Budapest (Hybrid)
- Full time
Sales ManagementConsultative SellingClosing (Sales)
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
1 day ago
Centene Corporation
- From: Arizona (USA) (Full Remote)
- Full time
Discharge PlanningUtilization ManagementMedical Necessity
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
Today
Centene Corporation
- From: North Carolina (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Managed Care Coordinator II/CM - Social Worker
Managed Care Coordinator II/CM - Social Worker
Today
BlueCross BlueShield of South Carolina
- From: Alabama (USA), Florida (USA), Georgia (USA), North Carolina (USA), South Carolina (USA), Tennessee (USA) (Full Remote)
- Full time
Educational AssessmentCare ManagementTraining Analysis
Utilization Review Clinician - BH
Utilization Review Clinician - BH
Today
Centene Corporation
- From: Delaware (USA), Florida (USA), Georgia (USA), North Carolina (USA), Ohio (USA), Pennsylvania (USA), South Carolina (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Supervisor RN/SW
Supervisor RN/SW
1 day ago
Horizon Blue Cross Blue Shield of New Jersey
- From: New Jersey (USA) (Full Remote)
- Full time
Utilization ManagementNursingCare Management
Travel Field Care Coordinator/ Licensed - Remote
Travel Field Care Coordinator/ Licensed - Remote
1 day ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationHealth Risk AssessmentsCross-Functional Collaboration
Career Opportunities: Actuary (24999)
Career Opportunities: Actuary (24999)
1 day ago
CareOregon
- From: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Fixed term
Data ManagementSAS (Software)SQL (Programming Language)Actuarial Science
Care Manager - Autism, licensed - Remote in PA
Care Manager - Autism, licensed - Remote in PA
1 day ago
Magellan Health
- From: Pennsylvania (USA) (Full Remote)
- Full time
Care ManagementApplied Behavior Analysis
RN - Registered Nurse (Remote) - Senior Utilization Management Educator
RN - Registered Nurse (Remote) - Senior Utilization Management Educator
Today
Essentia Health
- From: Minnesota (USA) (Full Remote)
- Full time
Utilization ManagementNursingAnalyticsContinuing Medical Education
Systems Analyst (Remote) 
Systems Analyst (Remote)
1 day ago
Conexess Group
- From: Illinois (USA) (Full Remote)
- Full time
Systems AnalysisEngineering DocumentationApplication Development
Supervisor, Clinical Grievance and Appeals
Supervisor, Clinical Grievance and Appeals
1 day ago
Centene Corporation
- From: North Carolina (USA) (Full Remote)
- Full time
Clinical SupervisionNursingRegulatory ComplianceMedical Necessity
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
1 day ago
Magellan Health
- From: Hawaii (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementMental HealthAddiction Treatment
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
Today
Centene Corporation
- From: North Carolina (USA) (Full Remote)
- Full time
Clinical Data AnalysisAuthorization (Computing)Utilization ManagementMedical Necessity
Care Manager
Care Manager
1 day ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementPsychiatric TreatmentsAddiction TreatmentCrisis Intervention
Utilization Management Coordinator
Utilization Management Coordinator
1 day ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementDigital File ManagementCPT Coding
Clinical Consulting Partner Lead
Clinical Consulting Partner Lead
Today
Guidehouse
- From: United States (Full Remote)
- Full time
Inpatient CareClinical PracticesBusiness TransformationCustomer Relationship Management
Independent Contractor-Hospital RN (Appeal Writing/Denials Mgmt) (Remote)
Independent Contractor-Hospital RN (Appeal Writing/Denials Mgmt) (Remote)
1 day ago
CorroHealth
- From: United States (Full Remote)
- Part time
Utilization ManagementClinical MedicineCare ManagementMedical Necessity
Medical Director (PRN)
Medical Director (PRN)
1 day ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementQuality AssessmentClinical Consulting
Medical Director - National Medicare
Medical Director - National Medicare
Today
Humana
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisLanguage InterpretationRegulatory ComplianceUtilization Management
Senior Clinical Pharmacist
Senior Clinical Pharmacist
Today
Humana
- From: United States (Full Remote)
- Full time
Pharmacist AssistanceActivities Of Daily Living (ADLs)Pharmacy ExperienceUtilization Management
Field Medical Director, Physical Medicine and Rehab
Field Medical Director, Physical Medicine and Rehab
Today
Evolent Health
- From: United States (Full Remote)
- Part time
Utilization ManagementClinical Practices
Part Time National Dental Specialist, MS
Part Time National Dental Specialist, MS
1 day ago
Avesis, Incorporated
- From: United States (Full Remote)
- Part time
Utilization ManagementInsurance ReviewsOrthodontics
Care Manager, BH - Remote in PA
Care Manager, BH - Remote in PA
Today
Magellan Health
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementBehavioral HealthCrisis Intervention
Utilization Review, Management Physician Advisor
Utilization Review, Management Physician Advisor
1 day ago
Sutter Health
- From: United States (Full Remote)
- Full time
Utilization ManagementHealth Information ManagementCoding TheoryClinical Documentation
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)
1 day ago
CNSI
- From: Illinois (USA) (Full Remote)
- Freelance
MedicaidGeneral PractitionerUtilization Management
Medical Director Pediatric Hematology-Oncology EviCore
Medical Director Pediatric Hematology-Oncology EviCore
Today
The Cigna Group
- From: United States (Full Remote)
- Full time
Evidence-Based PracticePediatric OncologyClinical AssessmentsClinical Assessments
Nurse, Virtual RN
Nurse, Virtual RN
2 days ago
Westside Family Healthcare
- From: Delaware (USA) (Full Remote)
- Full time
Biomedical InstrumentationNursingTelehealthCare Coordination
Initial Review Pharmacy Technician
Initial Review Pharmacy Technician
1 day ago
Prime Therapeutics
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical MedicinePharmacy ExperiencePharmaceuticals
Healthcare - Medical Claim Review Nurse
Healthcare - Medical Claim Review Nurse
1 day ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementMedical Insurance ClaimsClinical Nursing
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
6 days ago
Centene Corporation
- From: Florida (USA), Kentucky (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Registered Nurse-Review Analys
Registered Nurse-Review Analys
7 days ago
ICONMA
- From: Michigan (USA) (Full Remote)
- Full time
Utilization ManagementAnalyticsClinical AssessmentsCare Management
Field Medical Director, Physical Medicine and Rehab
Field Medical Director, Physical Medicine and Rehab
Today
New Century Health
- From: United States (Full Remote)
- Part time
Utilization ManagementClinical AssessmentsClinical PracticesPhysical Medicine And Rehabilitation
RN I
RN I
10 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: Connecticut (USA), Delaware (USA), New Jersey (USA), New York (USA), Pennsylvania (USA) (Full Remote)
- Full time
Nurse Licensure Compact
Psychologist Reviewer
Psychologist Reviewer
6 days ago
Centene Corporation
- From: Kentucky (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthPsychometrics
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- From: United Kingdom (Full Remote)
- Senior (5-10 years)
- 81 - 113K
Medical Management
National Medical Director
National Medical Director
30+ days ago
CorVel Corporation
- From: Virginia (USA) (Full Remote)
- Part time
- Expert & Leadership (>10 years)
Regulatory ComplianceUtilization Management
Remote Licensed Clinical Therapist - IL license
Remote Licensed Clinical Therapist - IL license
14 days ago
Monte Nido
- From: Illinois (USA) (Full Remote)
- Freelance
Eating Disorder TreatmentDischarge PlanningClinical Social WorkNutrition Intervention
Texas State Dental Director DHMO
Texas State Dental Director DHMO
20 days ago
Guardian Life
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementDental ExperienceTotal Quality ManagementClaims And Litigation Management
Payment Integrity Analyst II
Payment Integrity Analyst II
14 days ago
CERIS
- From: Texas (USA) (Full Remote)
- Full time
ICD Coding (ICD-9/ICD-10)Diagnosis-Related GroupClaims And Litigation Management
Utilization Review, RN
Utilization Review, RN
14 days ago
MedCost LLC
- From: North Carolina (USA) (Full Remote)
- Full time
Utilization ManagementMedical NecessityClinical Documentation
Medical Field Case Manager
Medical Field Case Manager
14 days ago
Enlyte
- From: Illinois (USA) (Full Remote)
- Full time
Care ManagementNursingWorkers' CompensationClinical Practices
Clinical Doc Spec PRN
Clinical Doc Spec PRN
12 days ago
Wellstar Health System
- From: Georgia (USA) (Full Remote)
- Part time
Coding TheoryMedical Record ManagementClinical Documentation
Physician Reviewer, Medical Managment
Physician Reviewer, Medical Managment
9 days ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementAssessment And AuthorizationMedical ManagementCase Management Systems
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
9 days ago
Centene Corporation
- From: Arkansas (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
