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
341 jobs
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Middle Revenue Services Senior Director
Middle Revenue Services Senior Director
Today
Essentia Health
- From: Minnesota (USA) (Full Remote)
- Full time
Coding TheoryHealth Information ManagementUtilization ManagementClinical Documentation
Transitions of Care - RN, 100% Virtual, CareBridge
Transitions of Care - RN, 100% Virtual, CareBridge
Just Now
Elevance Health
- From: Colorado (USA), Maryland (USA) (Full Remote)
- Full time
Behavior EvaluationPatient Education And CounselingNurse Licensure CompactHealth And Wellness Coaching
Senior Care Manager (RN)
Senior Care Manager (RN)
Today
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
Home Health CareCare ManagementCare ManagementUtilization Management
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
Today
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementRegulatory ComplianceMedical Necessity
Medical Director -Pediatric Cardiology
Medical Director -Pediatric Cardiology
Today
The Cigna Group
- From: United States (Full Remote)
- Full time
Cardiology
Clinical Reviewer, Nurse (Pain MNGT)
Clinical Reviewer, Nurse (Pain MNGT)
Just Now
New Century Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementPain ManagementNursing
Nurse Reviewer I
Nurse Reviewer I
1 day ago
Elevance Health
- From: California (USA), Colorado (USA), Illinois (USA), Minnesota (USA), Nevada (USA), Washington (USA) (Full Remote)
- Full time
Utilization ManagementClinical NursingMedical ManagementPrior Authorization
Clinical Reviewer III (ECSS), Remote in LA
Clinical Reviewer III (ECSS), Remote in LA
Today
Magellan Health
- From: United States (Full Remote)
- Full time
Behavioral HealthClinical MedicineClinical AuditingTotal Quality Management
Board Certified Pathology Physician Advisor, Disability Peer Review
Board Certified Pathology Physician Advisor, Disability Peer Review
1 day ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Utilization ManagementPathologyMedical NecessityMedical Testing
Manager, Utilization Management
Manager, Utilization Management
2 days ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementCompliance Management
Physician Reviewer
Physician Reviewer
3 days ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementAssessment And AuthorizationMedical ManagementCare Management
Compliance Program Manager (Clinical Audit & Oversight) 
Compliance Program Manager (Clinical Audit & Oversight)
4 days ago
Health Plan of San Joaquin
- From: California (USA) (Full Remote)
- Full time
Compliance ManagementProject ManagementClinical AuditingRegulatory Compliance
Utilization Review Coordinator
Utilization Review Coordinator
4 days ago
Bradford Health Services
- From: Alabama (USA) (Full Remote)
- Full time
Insurance LawUtilization ManagementElectronic Health Record ApplicationsAnalytics
RN Client Focused Case Manager (Remote) - 40 Hours - Day Shift - Populance
RN Client Focused Case Manager (Remote) - 40 Hours - Day Shift - Populance
4 days ago
Henry Ford Health
- From: Michigan (USA) (Full Remote)
- Full time
Care ManagementUtilization Management
Head of Growth
Head of Growth
1 day ago
Diligent Robotics
- From: United States (Full Remote)
- Full time
Solution SellingCommercializationStrategic ManagementCustomer Relationship Management
Care Review Clinician II
Care Review Clinician II
7 days ago
APN Consulting Inc.
- From: Washington (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral Health
Texas State Dental Director DHMO
Texas State Dental Director DHMO
6 days ago
Guardian Life
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementDental ExperienceTotal Quality ManagementClaims And Litigation Management
Physical Medicine & Rehabilitation Telecommute Medical Review Stream Physician
Physical Medicine & Rehabilitation Telecommute Medical Review Stream Physician
4 days ago
Concentra
- From: New Mexico (USA) (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Supervisor, Behavioral Health Utilization Management
Supervisor, Behavioral Health Utilization Management
2 days ago
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthManaged Care
Clinical CDI Specialist
Clinical CDI Specialist
8 days ago
Acuity Systems, Inc.
- From: Texas (USA) (Full Remote)
- Full time
Revenue ManagementTechnology AlignmentClinical Consulting
Observation Clinical Analyst - RN
Observation Clinical Analyst - RN
2 days ago
Sentara Healthcare
- From: Virginia (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementNursingMedical Necessity
Sales Enablement Specialist (US/UK Remote)
Sales Enablement Specialist (US/UK Remote)
4 days ago
WTW
- From: Illinois (USA) (Full Remote)
- Full time
AnalyticsSales Automation Software
Psychologist Reviewer
Psychologist Reviewer
6 days ago
Centene Corporation
- From: Georgia (USA), Illinois (USA), Indiana (USA), Iowa (USA), Nebraska (USA), New Hampshire (USA), New Jersey (USA) (Full Remote)
- Full time
Behavioral HealthApplied Behavior Analysis
Utilization Review Nurse - LPN (Remote)
Utilization Review Nurse - LPN (Remote)
8 days ago
Morgan Stephens
- From: Georgia (USA) (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceUsage Tracking
Utilization Management Coordinator II
Utilization Management Coordinator II
7 days ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
Medical BillingUtilization ManagementAuthorization (Computing)
Clinical Documentation Specialist 1 - Remote
Clinical Documentation Specialist 1 - Remote
18 days ago
University of Miami
- From: Florida (USA) (Full Remote)
- Full time
Utilization ManagementReimbursement RegulationsData AbstractionClinical Documentation
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- From: United Kingdom (Full Remote)
- Senior (5-10 years)
- 81 - 113K
Medical Management
Utilization Management Coordinator (Home-Based) - Prior Authorization
Utilization Management Coordinator (Home-Based) - Prior Authorization
15 days ago
Sanford Health
- From: Wisconsin (USA) (Full Remote)
- Full time
Utilization ManagementCoding TheoryHealth Reimbursement ArrangementClinical Assessments
Medical Director - Medicare Grievances and Appeals Corporate
Medical Director - Medicare Grievances and Appeals Corporate
2 days ago
Humana
- From: United States (Full Remote)
- Full time
Healthcare Industry Knowledge
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
RC Appellate Clinician - Remote $10K Sign on Bonus
RC Appellate Clinician - Remote $10K Sign on Bonus
16 days ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
InterQual CriteriaMedical Necessity
Clinical Review Clinician - Appeals
Clinical Review Clinician - Appeals
9 days ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMedical Necessity
Resource Manager / Senior Resource Manager 
Resource Manager / Senior Resource Manager
9 days ago
Precision Medicine Group
- From: United Kingdom (Full Remote)
- Full time
Staff PlanningResource Management
Crisis Responder / Qualified Professional
Crisis Responder / Qualified Professional
16 days ago
RHA Health Services, LLC
- From: North Carolina (USA) (Full Remote)
- Full time
Care ManagementBehavioral HealthCrisis Management
Licensed Master Social Work Case Manager
Licensed Master Social Work Case Manager
14 days ago
Arkansas Blue Cross and Blue Shield
- From: Florida (USA), Georgia (USA), Illinois (USA), Kansas (USA), Louisiana (USA), Minnesota (USA), Mississippi (USA), Oklahoma (USA), South Carolina (USA), Tennessee (USA), Texas (USA), Virginia (USA), Wisconsin (USA) (Full Remote)
- Full time
Case Management SystemsMedical Social Work
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
- From: Michigan (USA) (Full Remote)
- Full time
Utilization ManagementNursingCare ManagementClinical Assessments
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
Sidecar Health
- From: Florida (USA), Georgia (USA), Kentucky (USA), Ohio (USA) (Full Remote)
- Full time
Utilization ManagementMedical GuidelineNursingMedical Necessity
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare Coordination
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
30+ days ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
AppealsInterQual CriteriaMedical Necessity
Clinical Coding and OASIS Review Manager
Clinical Coding and OASIS Review Manager
30+ days ago
BAYADA Home Health Care
- From: Texas (USA) (Full Remote)
- Full time
ICD 503
Clinical Integration Liaison - Licensed/Remote in CA
Clinical Integration Liaison - Licensed/Remote in CA
30+ days ago
Magellan Health
- From: California (USA) (Full Remote)
- Full time
Clinical Data ExchangeUtilization ManagementProject ManagementMental Health Education
Oracle Utilities MDM Consultant
Oracle Utilities MDM Consultant
30+ days ago
Talpro - Leaders in Technology Hiring
- From: India (Full Remote)
- Full time
Oracle Application Framework (OAF)Java (Programming Language)IBM InfoSphere MDM
Career Opportunities: Clinical Operations Manager (24958)
Career Opportunities: Clinical Operations Manager (24958)
14 days ago
CareOregon
- From: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
Clinical System OperationsUtilization ManagementMedicareCare Management
Clinical Facilitator, RN or SW
Clinical Facilitator, RN or SW
30+ days ago
Healthfirst
- From: New York (USA) (Full Remote)
- Full time
Support EngineeringAdult Learning PrinciplesClinical PracticesCurriculum Development
USRN (Utilization Review)
USRN (Utilization Review)
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
- Junior (1-2 years)
Utilization ManagementMedical Insurance Claims
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare CoordinationClinical Assessments
Resource Manager
Resource Manager
30+ days ago
Real Chemistry
- From: California (USA), Illinois (USA), Indiana (USA), Massachusetts (USA), New York (USA) (Full Remote)
- Full time
AnalyticsProject ManagementResource Management
Senior Utilization Review Specialist 
Senior Utilization Review Specialist
22 days ago
Compass Health Center
- From: Illinois (USA) (Full Remote)
- Full time
Insurance LawUtilization ManagementPatient Education And Counseling
Family Practice Telecommute Medical Review
Family Practice Telecommute Medical Review
30+ days ago
Concentra
- From: New Jersey (USA) (Full Remote)
- Full time
Credential ManagerUtilization ManagementClinical AssessmentsClinical Assessments
Clinical Coding and OASIS Review Manager
Clinical Coding and OASIS Review Manager
30+ days ago
BAYADA Home Health Care
- From: Florida (USA) (Full Remote)
- Full time
ICD 503
