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
376 jobs
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Clinical Appeal Nurse - Remote $10K Sign on Bonus
Clinical Appeal Nurse - Remote $10K Sign on Bonus
11 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
InterQual CriteriaMedical Necessity
Medical Policy Clinical Specialist
Medical Policy Clinical Specialist
30+ days ago
Premera Blue Cross
- Remote: Washington (USA)
- Full time
Clinical MedicineMedical WritingHealth Policy Development
Senior Benefits Consultant
Senior Benefits Consultant
16 day ago
Brown & Brown Insurance
- Remote: South Dakota (USA)
- Full time
Benefits AdministrationCompliance ManagementCorporate Financial Reporting
LPN – Utilization Management (Shift Care Team)
LPN – Utilization Management (Shift Care Team)
23 day ago
The CKHobbie Group
- Remote: Pennsylvania (USA)
- Full time
Care CoordinationUtilization ManagementPediatric NursingCompliance Management
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
8 day ago
Concentra
- Remote: Texas (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Care Manager, BH - Remote in PA
Care Manager, BH - Remote in PA
6 day ago
Magellan Health
- Remote: Pennsylvania (USA)
- Full time
Care CoordinationUtilization ManagementBehavioral HealthCrisis Intervention
Care Management Associate I (Appeals)
Care Management Associate I (Appeals)
30+ days ago
NYC Health + Hospitals
- Remote: New York (USA)
- Full time
ICD 503CppunitMedical Abbreviations
Customer Execution and Clinical Monitoring Specialist
Customer Execution and Clinical Monitoring Specialist
15 day ago
RippedBoxStation
- Remote: Philippines
- Full time
Utilization ManagementHealth ScreeningsMedical DevicesElectronic Medical Record
Grievance & Appeals Specialist
Grievance & Appeals Specialist
13 day ago
The CGC Group
- Remote: United States
- Fixed term
Utilization ManagementGrievance ArbitrationMedical NecessityCompliance Management
Prior Authorization Medical Clinician
Prior Authorization Medical Clinician
14 day ago
WellSense Health Plan
- Remote: Massachusetts (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Necessity
Medical Case Manager II
Medical Case Manager II
30+ days ago
CorVel Corporation
- Remote: Vatican City
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Utilization ManagementNeurologyCost Containment
Appeals Res Analyst I
Appeals Res Analyst I
3 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
USRN/New NCLEX Passer
USRN/New NCLEX Passer
24 day ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
Utilization ManagementNursingBasic Patient Care
VP, Clinical Operations
VP, Clinical Operations
30+ days ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
General SurgeryMedical ManagementPolicy Development
Care Management Social Worker
Care Management Social Worker
19 day ago
Cambia Health Solutions
- Remote: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA)
- Full time
Care ManagementBehavioral HealthCare ManagementHealthcare Industry Knowledge
Primary Therapist - Virtual - (East Coast - NY license)
Primary Therapist - Virtual - (East Coast - NY license)
30+ days ago
Monte Nido
- Remote: New York (USA)
- Full time
Group TherapyFamily Therapy
USRN (Utilization Management)
USRN (Utilization Management)
30+ days ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
- Junior (1-2 years)
Utilization ManagementMedical Insurance Claims
Physician Reviewer, Neurological Surgery - NV
Physician Reviewer, Neurological Surgery - NV
15 day ago
Dane Street, LLC
- Remote: Nevada (USA)
- Fixed term
Utilization ManagementAdvisory CircularMedical NecessityClinical Consulting
Customer Success Manager
Customer Success Manager
30+ days ago
Salsify
- Remote: Portugal
- 32 - 38K
Customer Success ManagementChange Management
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- Remote: Texas (USA)
- Full time
Utilization ManagementProject ManagementClinical Assessments
HRSN Specialist RN I
HRSN Specialist RN I
29 day ago
Samaritan Health Services
- Remote: Arizona (USA), Arkansas (USA), Connecticut (USA), Florida (USA), Georgia (USA), Idaho (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Michigan (USA), Mississippi (USA), Missouri (USA), Montana (USA)
- Full time
MedicaidClinical NursingMedical Abbreviations
IP Manager
IP Manager
22 day ago
Finning
- Remote: Chile
- Full time
Process OptimizationProject ManagementPerformance MetricCustomer Relationship Management
Manager, Behavioral Health Care Management/RN/LCSW/LPC/LCAS- Remote in VA!
Manager, Behavioral Health Care Management/RN/LCSW/LPC/LCAS- Remote in VA!
7 day ago
Sentara Healthcare
- Remote: United States
- Full time
Care CoordinationUtilization ManagementBehavioral HealthMedical Management
RN Clinical Review Clinician - Appeals
RN Clinical Review Clinician - Appeals
13 day ago
Centene Corporation
- Remote: United States
- Full time
Utilization ManagementNurse Licensure Compact
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Vermont (USA)
- Full time
Care ManagementPatient EvaluationTreatment Planning
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Colorado (USA)
- Full time
Care ManagementNursingWorkers' CompensationClinical Practices
Physician Utilization Reviewer (Medical Director)
Physician Utilization Reviewer (Medical Director)
20 day ago
Medical Review Institute
- Remote: California (USA)
- Full time
Utilization ManagementClinical MedicineBasic Patient CareAdjudication
VP, Clinical Operations
VP, Clinical Operations
30+ days ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Clinical System OperationsMedicarePolicy Development
Lead Actuarial Analyst
Lead Actuarial Analyst
14 day ago
Cohere Health
- Remote: United States
- Full time
Prior AuthorizationFinancial ModelingHealthcare AnalyticsCost Benefit Analysis
Workforce Analyst
Workforce Analyst
7 day ago
SeatGeek
- Remote: United States
- Full time
AnalyticsWorkforce Planning
Utilization Review Specialist
Utilization Review Specialist
8 day ago
Charlie Health
- Remote: United States
- Full time
Insurance LawUtilization ManagementHospital ExperienceProject Management
Field Medical Director, Pain Management
Field Medical Director, Pain Management
6 day ago
New Century Health
- Remote: United States
- Full time
Clinical Data AnalysisAnalgesicsInterventional Pain ManagementUtilization Management
Field Medical Director, Radiology (Pulmonology Preferred)
Field Medical Director, Radiology (Pulmonology Preferred)
4 day ago
New Century Health
- Remote: United States
- Full time
Utilization ManagementMedical GuidelineClinical PracticesPeer Review
Field Medical Director, Oncology
Field Medical Director, Oncology
7 day ago
New Century Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical Oncology
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 ManagementClinical MedicineRegulatory ComplianceCare Management
Concurrent Utilization Review Nurse (Work from Home)
Concurrent Utilization Review Nurse (Work from Home)
20 day ago
Bright Health
- Remote: California (USA)
- Full time
Utilization ManagementMedical GuidelineElectronic Health Record ApplicationsMedical Necessity
Full-Time RN Case Manager (UR Focused) | Texas
Full-Time RN Case Manager (UR Focused) | Texas
30+ days ago
Beam Healthcare
- Remote: Texas (USA)
- Full time
Care CoordinationCare ManagementDischarge PlanningUtilization Management
Corporate Medical Director - Medicare Grievances and Appeals (32-Hours)
Corporate Medical Director - Medicare Grievances and Appeals (32-Hours)
7 day ago
Humana
- Remote: United States
- Full time
Clinical AssessmentsMedical Necessity
Corporate Medical Director - Medicare Grievances and Appeals
Corporate Medical Director - Medicare Grievances and Appeals
1 day ago
Humana
- Remote: United States
- Full time
Medical ManagementClinical Assessments
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Illinois (USA)
- Full time
Care ManagementNursingWorkers' CompensationBasic Patient Care
Concurrent Utilization Review Nurse (Work from Home)
Concurrent Utilization Review Nurse (Work from Home)
20 day ago
NeueHealth
- Remote: California (USA)
- Full time
Utilization ManagementMedical Guideline
Medical Director - Medical Oncology - eviCore - Remote
Medical Director - Medical Oncology - eviCore - Remote
24 day ago
Evernorth Health Services
- Remote: Ohio (USA)
- Full time
Evidence-Based PracticeClinical AssessmentsMedical OncologyCare Management
Program Director - Eating Disorder, Residential
Program Director - Eating Disorder, Residential
30+ days ago
Discovery Behavioral Health
- Remote: United States, California (USA)
- Full time
- Expert & Leadership (>10 years)
- 77 - 95K
Utilization ManagementGroup TherapyClinical Supervision
Field Medical Director, Interventional Cardiology (Remote)
Field Medical Director, Interventional Cardiology (Remote)
9 day ago
Evolent Health
- Remote: United States
- Part time
Clinical Data AnalysisUtilization ManagementCardiologyCardiology
Primary Therapist - Virtual - (East Coast - NY license)
Primary Therapist - Virtual - (East Coast - NY license)
30+ days ago
Monte Nido & Affiliates
- Remote: New York (USA)
- Full time
Group TherapyFamily Therapy
USRN
USRN
30+ days ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
- Mid-level (2-5 years)
Utilization Management
Managed Care Contract Manager
Managed Care Contract Manager
9 day ago
Advocate Aurora Health
- Remote: United States
- Full time
Contract ManagementReimbursement RegulationsManaged CareContract Management
Care Manager II Utilization Management
Care Manager II Utilization Management
Today
Sutter Health
- Remote: United States
- Full time
Utilization ManagementTransitional CareCare ManagementClinical Documentation
Provider Engagement Account Manager
Provider Engagement Account Manager
Today
Centene Corporation
- Remote: United States
- Full time
Provider ModelAccount ManagementContract ManagementQuality Assessment
RMD - Virtual Care
RMD - Virtual Care
16 day ago
CenterWell Senior Primary Care
- Remote: Florida (USA), Mississippi (USA)
- Full time
Regulatory ComplianceMedical ManagementHealthcare Strategy
