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
371 jobs
Sort by:
UM Coordinator - LHB
UM Coordinator - LHB
12 day ago
Health Care Service Corporation
- Remote: Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA), Missouri (USA), Montana (USA), New Mexico (USA), North Carolina (USA), Oklahoma (USA), Pennsylvania (USA), Texas (USA), Wisconsin (USA)
- Full time
Utilization ManagementClinical NursingMedical ManagementCare Management
Manager-Transition of Care (Full time Remote, North Carolina Based)
Manager-Transition of Care (Full time Remote, North Carolina Based)
4 day ago
Alliance Health
- Remote: North Carolina (USA)
- Full time
Clinical Trial PlanningCare ManagementCare Coordination
Registered Nurse-Access Care- UMC-Remote Work-36 Hours-Midnights-Detroit
Registered Nurse-Access Care- UMC-Remote Work-36 Hours-Midnights-Detroit
30+ days ago
Henry Ford Health
- Remote: Michigan (USA)
- Full time
Utilization ManagementNursingCare ManagementClinical Assessments
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
Sidecar Health
- Remote: Florida (USA), Georgia (USA), Kentucky (USA), Ohio (USA)
- Full time
Utilization ManagementMedical GuidelineNursingMedical Necessity
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare Coordination
Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
20 day ago
Evernorth Health Services
- Remote: Connecticut (USA)
- Full time
Utilization ManagementClinical AssessmentsAcute Care Nursing
Utilization Review Clinician (RN, PT, OT) - Oregon
Utilization Review Clinician (RN, PT, OT) - Oregon
23 day ago
WellSky
- Remote: Oregon (USA)
- Full time
Care CoordinationUtilization ManagementMedical GuidelineNursing
Medical Director - Medical Oncology - eviCore - Remote
Medical Director - Medical Oncology - eviCore - Remote
28 day ago
Evernorth Health Services
- Remote: Ohio (USA)
- Full time
Evidence-Based PracticeClinical AssessmentsMedical OncologyCare Management
Utilization Review Nurse – LTSS (Contract-to-Perm) - REMOTE
Utilization Review Nurse – LTSS (Contract-to-Perm) - REMOTE
9 day ago
Morgan Stephens
- Remote: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), New York (USA), Ohio (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA)
- Freelance
Utilization ManagementNurse Licensure CompactClinical Documentation
Physician Utilization Reviewer (Medical Director)
Physician Utilization Reviewer (Medical Director)
23 day ago
Medical Review Institute
- Remote: Utah (USA)
- Full time
Clinical Data AnalysisUtilization ManagementClinical MedicineCommunity Advocacy
Spine Telecommute Medical Review Stream
Spine Telecommute Medical Review Stream
12 day ago
Concentra
- Remote: Texas (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Clinical Facilitator, RN or SW
Clinical Facilitator, RN or SW
30+ days ago
Healthfirst
- Remote: New York (USA)
- Full time
Support EngineeringAdult Learning PrinciplesClinical PracticesCurriculum Development
Payment Integrity Clinician - (Remote)
Payment Integrity Clinician - (Remote)
30+ days ago
Highmark Health
- Remote: Pennsylvania (USA)
- Full time
Coding TheoryInsurance ReviewsClinical Assessments
USRN (Utilization Review)
USRN (Utilization Review)
30+ days ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
- Junior (1-2 years)
Utilization ManagementMedical Insurance Claims
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical Assessments
Utilization Management Nurse (MLTC Focus) - Remote
Utilization Management Nurse (MLTC Focus) - Remote
29 day ago
Morgan Stephens
- Remote: New York (USA)
- Part time
MedicaidUtilization ManagementNurse Licensure CompactClinical Data Analysis
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
4 day ago
Centene Corporation
- Remote: Florida (USA), Kentucky (USA)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Clinical Reviewer WA L&I
Clinical Reviewer WA L&I
22 day ago
Comagine Health
- Remote: Washington (USA)
- Full time
Clinical Data AnalysisUtilization ManagementNursingAnalytics
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
1 day ago
Dane Street, LLC
- Remote: New York (USA)
- Fixed term
Utilization ManagementWorkers' Compensation ClaimsMedical NecessityOrthopedics
Utilization Management Nurse (MLTC Focus) - Remote
Utilization Management Nurse (MLTC Focus) - Remote
29 day ago
Morgan Stephens
- Remote: New York (USA)
- Part time
MedicaidUtilization ManagementNurse Licensure CompactClinical Data Analysis
Care Manager - BH
Care Manager - BH
3 day ago
Magellan Health
- Remote: Missouri (USA)
- Full time
Crisis InterventionClinical Assessments
Utilization Management Registered Nurse, MI - Remote
Utilization Management Registered Nurse, MI - Remote
20 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Full time
Utilization ManagementNursingManaged CareCare Management
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
6 day ago
Dane Street, LLC
- Remote: New York (USA)
- Freelance
Utilization ManagementWorkers' Compensation ClaimsMedical NecessityOrthopedics
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical Assessments
Board Certified OB/GYN-Obstetrics and Gynecology Physician Advisor, Disability
Board Certified OB/GYN-Obstetrics and Gynecology Physician Advisor, Disability
11 day ago
Dane Street, LLC
- Remote: California (USA)
- Freelance
Obstetrics And GynaecologyObstetrics And GynaecologyMedical Necessity
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Indiana (USA)
- Full time
Care ManagementTreatment PlanningPatient Education And Counseling
Care Manager II Utilization Management
Care Manager II Utilization Management
4 day ago
Sutter Health
- Remote: California (USA)
- Full time
Utilization ManagementTransitional CareClinical Documentation
Clinical Operations Director
Clinical Operations Director
30+ days ago
TapTalent.ai
- Remote: Philippines
- Full time
- Mid-level (2-5 years)
Healthcare Appeals Associate
Healthcare Appeals Associate
17 day ago
TLNT
- Remote: Mexico
- Full time
Patient Education And CounselingMedical LawCPT CodingInsurance Follow-Up
System Physician Advisor
System Physician Advisor
30+ days ago
CommonSpirit Health
- Remote: Texas (USA)
- Full time
Utilization ManagementRegulatory ComplianceICD 503Clinical Documentation
Healthcare Data Entry! UR Index Intake Coordinator - REMOTE! Mon- Fri 10am - 7pm PST
Healthcare Data Entry! UR Index Intake Coordinator - REMOTE! Mon- Fri 10am - 7pm PST
30+ days ago
EK Health Services Inc.
- Remote: Idaho (USA)
- Full time
Case Management SystemsData EntryUtilization ManagementLaser Scanning
Compliance Program Manager (Clinical Audit & Oversight) 
Compliance Program Manager (Clinical Audit & Oversight)
17 day ago
Health Plan of San Joaquin
- Remote: California (USA)
- Full time
Compliance ManagementProject ManagementClinical AuditingRegulatory Compliance
Clinical Admissions Therapist (New Hampshire)
Clinical Admissions Therapist (New Hampshire)
25 day ago
Charlie Health
- Remote: New Hampshire (USA)
- Full time
TelehealthPsychosocial AssessmentsMental Health Assessments
Healthcare - Care Review Clinician I
Healthcare - Care Review Clinician I
9 day ago
APN Consulting Inc.
- Remote: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), Ohio (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA)
- Full time
Medicaid
Senior Business Analyst
Senior Business Analyst
30+ days ago
Samaritan Health Services
- Remote: Oregon (USA)
- Full time
Database DesignSQL (Programming Language)Business AnalysisProject Management
Utilization Management Nurse – Behavioral Health Focus (Remote)
Utilization Management Nurse – Behavioral Health Focus (Remote)
20 day ago
Morgan Stephens
- Remote: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), New York (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA)
- Full time
Utilization ManagementBehavioral HealthNurse Licensure Compact
Behavioral Health Care Manager II
Behavioral Health Care Manager II
4 day ago
Elevance Health
- Remote: California (USA), New York (USA), Ohio (USA), Texas (USA)
- Full time
Psychiatric AssessmentsUtilization ManagementBehavioral HealthCare Management
Medical Director
Medical Director
18 day ago
Highmark Health
- Remote: 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 time
Utilization ManagementMedical ManagementCare ManagementClinical Consulting
Grievance and Appeals Nurse Specialist
Grievance and Appeals Nurse Specialist
25 day ago
Partnership HealthPlan of California
- Remote: California (USA)
- Full time
Care ManagementGrievance ArbitrationUtilization ManagementClinical Assessments
US Registered Nurse
US Registered Nurse
19 day ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
Senior Business Analyst Remote
Senior Business Analyst Remote
7 day ago
Sentara Healthcare
- Remote: Alabama (USA), Delaware (USA), Florida (USA), Georgia (USA), Idaho (USA), Indiana (USA), Kansas (USA), Louisiana (USA), Maine (USA), Maryland (USA), Minnesota (USA), Nebraska (USA), Nevada (USA), New Hampshire (USA), North Carolina (USA)
- Full time
Health Care IndustryProject ManagementAnalytics
Behavioral Health Utilization Management Review
Behavioral Health Utilization Management Review
9 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Utilization ManagementBehavioral HealthClinical AssessmentsMedical Necessity
USRN
USRN
19 day ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
Clinical Assessments
New Mexico Manager, Clinical Care Management (New Mexico - Active RN License)
New Mexico Manager, Clinical Care Management (New Mexico - Active RN License)
9 day ago
Comagine Health
- Remote: New Mexico (USA)
- Freelance
Utilization ManagementNurse Licensure CompactFinancial ManagementTotal Quality Management
Healthcare Data Entry! UR Index Intake Coordinator - REMOTE! Mon- Fri 8:30am - 5:30pm PST
Healthcare Data Entry! UR Index Intake Coordinator - REMOTE! Mon- Fri 8:30am - 5:30pm PST
30+ days ago
EK Health Services Inc.
- Remote: Arizona (USA)
- Full time
Case Management SystemsData EntryUtilization Management
Field Medical Director , Radiology (Urology)
Field Medical Director , Radiology (Urology)
15 day ago
New Century Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical Guideline
Sr Utilization Management
Sr Utilization Management
30+ days ago
Saviance Technologies Pvt. Ltd.
- Remote: Suriname
- Full time
- Senior (5-10 years)
Basic Patient CareMedicaid
Medical Director Utilization Management Oncology: Remote 
Medical Director Utilization Management Oncology: Remote
30+ days ago
The Oncology Institute
- Remote: California (USA)
- Full time
OncologyClinical InformaticsUtilization Management
Denial Prevention Nurse Consultant
Denial Prevention Nurse Consultant
21 day ago
Revecore
- Remote: Alabama (USA), Arkansas (USA), Delaware (USA), Florida (USA), Georgia (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Maine (USA), Maryland (USA), Massachusetts (USA), Michigan (USA)
- Full time
Utilization ManagementInterQual Criteria
Clinical Reviewer - LPN
Clinical Reviewer - LPN
30+ days ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Utilization ManagementClinical NursingManaged CareMedical Record Management
