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
363 jobs
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Senior FP&A & Costing Analyst
Senior FP&A & Costing Analyst
1 day ago
Epiq Systems (Private) Limited
- Remote: Arizona (USA), Florida (USA), Illinois (USA), Kansas (USA), New York (USA), Oregon (USA), Texas (USA)
- Full time
Financial ManagementCost AccountingCost Benefit AnalysisAWS Cost Management
Healthcare - Care Review Clinician I
Healthcare - Care Review Clinician I
1 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), New York (USA), Ohio (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA)
- Full time
Utilization Management
UM Prior Authorization Nurse, LVN/LPN
UM Prior Authorization Nurse, LVN/LPN
1 day ago
Bright Health
- Remote: California (USA)
- Full time
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
UM Prior Authorization Nurse, LVN/LPN
UM Prior Authorization Nurse, LVN/LPN
1 day ago
NeueHealth
- Remote: California (USA)
- Full time
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
Career Opportunities: Actuary, Senior (24950)
Career Opportunities: Actuary, Senior (24950)
1 day ago
CareOregon
- Remote: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA)
- Full time
Financial AnalysisData ManagementActuarial Science
RN I (UM -ICM Team)
RN I (UM -ICM Team)
Today
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Utilization ManagementNurse Licensure CompactClinical AssessmentsCare Management
Senior FP&A & Costing Analyst
Senior FP&A & Costing Analyst
1 day ago
Epiq
- Remote: Arizona (USA), Florida (USA), Illinois (USA), Kansas (USA), New York (USA), Oregon (USA), Texas (USA)
- Full time
Financial ManagementProcess CostingCost AccountingCost Benefit Analysis
Cardiac Electrophysiology Physician Advisor, Disability Peer Review
Cardiac Electrophysiology Physician Advisor, Disability Peer Review
1 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Medical GuidelineCardiologyClinical Assessments
Senior Utilization Review Specialist 
Senior Utilization Review Specialist
2 day ago
Compass Health Center
- Remote: Illinois (USA)
- Full time
Insurance LawUtilization ManagementPatient Education And Counseling
RN Senior Medical Reviewer - CGS
RN Senior Medical Reviewer - CGS
2 day ago
BlueCross BlueShield of South Carolina
- Remote: South Carolina (USA), Tennessee (USA)
- Full time
Clinical AssessmentsUtilization ManagementClinical AssessmentsCare Management
RN I
RN I
1 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Utilization ManagementNurse Licensure CompactClinical AssessmentsCare Management
RN - Registered Nurse Clinical Access Specialist - Utilization Management
RN - Registered Nurse Clinical Access Specialist - Utilization Management
1 day ago
Geisinger
- Remote: United States
- Full time
Utilization ManagementMedical Record ManagementMedical Necessity
Utilization Management Coordinator - LHB
Utilization Management Coordinator - LHB
1 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 ManagementNursingCare Management
Remote Behavioral Medical Director
Remote Behavioral Medical Director
1 day ago
Centene Corporation
- Remote: United States
- Full time
Clinical GovernanceUtilization ManagementQuality Assessment
RN Senior Medical Reviewer - CGS
RN Senior Medical Reviewer - CGS
3 day ago
CGS Administrators, LLC
- Remote: South Carolina (USA), Tennessee (USA)
- Full time
Clinical AssessmentsUtilization ManagementClinical AssessmentsCare Management
RN Care Manager Preservice and Retrospective
RN Care Manager Preservice and Retrospective
4 day ago
Blue Cross and Blue Shield of Minnesota
- Remote: Minnesota (USA)
- Full time
Utilization ManagementInsurance ReviewsAnalyticsClinical Assessments
Physician Reviewer - Orthopedic Spine (Utilization Review)
Physician Reviewer - Orthopedic Spine (Utilization Review)
2 day ago
Dane Street, LLC
- Remote: Texas (USA)
- Freelance
Utilization ManagementOrthopedics
Provider Engagement Account Manager
Provider Engagement Account Manager
2 day ago
Centene Corporation
- Remote: Pennsylvania (USA)
- Full time
Provider ModelAccount ManagementQuality AssessmentClaims And Litigation Management
Clinical Systems Administrator
Clinical Systems Administrator
5 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Utilization ManagementSystem AdministrationClinic Management SystemsComputer Programming
Transplant Care Nurse RN - Stem Cell, Bone Marrow CM/UM (Remote)
Transplant Care Nurse RN - Stem Cell, Bone Marrow CM/UM (Remote)
1 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 ManagementNurse Licensure CompactTransplant NursingCare Management
Clinical Nurse Liaison
Clinical Nurse Liaison
1 day ago
Centene Corporation
- Remote: United States
- Full time
Utilization ManagementClinical NursingCare ManagementQuality Assessment
Medical Field Case Manager
Medical Field Case Manager
4 day ago
Genex Services
- Remote: Illinois (USA)
- Full time
Care ManagementNursingWorkers' CompensationBasic Patient Care
Supv, Clinical Ops
Supv, Clinical Ops
4 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
General SurgeryUtilization ManagementCare Management
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
4 day ago
Centene Corporation
- Remote: Arkansas (USA), Georgia (USA), Missouri (USA), Oklahoma (USA), Texas (USA)
- Full time
Utilization ManagementDischarge PlanningMedical Necessity
Care Manager - BH After Hours
Care Manager - BH After Hours
3 day ago
Magellan Health
- Remote: Florida (USA)
- Full time
Mental HealthUtilization ManagementBehavioral HealthAddiction Treatment
Cardiologist Needed for Remote 1099 Utilization Review Work
Cardiologist Needed for Remote 1099 Utilization Review Work
3 day ago
Medical Review Institute
- Remote: Maryland (USA), Minnesota (USA), New Mexico (USA), Texas (USA), Virginia (USA)
- Freelance
Utilization ManagementCardiologyClinical Assessments
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
7 day ago
Centene Corporation
- Remote: New York (USA)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Utilization Review Clinician - ABA
Utilization Review Clinician - ABA
2 day ago
Centene Corporation
- Remote: Arizona (USA), Florida (USA), Indiana (USA), Kansas (USA), Kentucky (USA), New York (USA), Texas (USA)
- Full time
Clinical Data AnalysisUtilization ManagementBehavioral HealthApplied Behavior Analysis
Medical Review Nurse RN
Medical Review Nurse RN
11 day ago
Florida Blue
- Remote: Florida (USA)
- Full time
Clinical Data AnalysisNursingClinical AssessmentsPrior Authorization
Care Manager, Health Plan - Licensed / Remote in CA
Care Manager, Health Plan - Licensed / Remote in CA
9 day ago
Magellan Health
- Remote: California (USA)
- Full time
Health Risk AssessmentsBehavioral HealthCare ManagementClinical Medicine
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- Remote: United Kingdom
- Senior (5-10 years)
- 81 - 113K
Medical Management
Telephonic Medical Case Management (Workers' compensation)
Telephonic Medical Case Management (Workers' compensation)
16 day ago
TRISTAR Insurance Group
- Remote: South Carolina (USA)
- Full time
Care CoordinationCare ManagementUtilization ManagementClinical Assessments
National Medical Director
National Medical Director
30+ days ago
CorVel Corporation
- Remote: Virginia (USA)
- Part time
- Expert & Leadership (>10 years)
Regulatory ComplianceUtilization Management
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
21 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
AppealsInterQual CriteriaMedical Necessity
Supervisor Population Health Clinical Services - Health Alliance
Supervisor Population Health Clinical Services - Health Alliance
6 day ago
UNC Health
- Remote: North Carolina (USA)
- Full time
Nurse RegistryCare ManagementDemography
Family Practice Telecommute Medical Review
Family Practice Telecommute Medical Review
18 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Credential ManagerUtilization ManagementClinical AssessmentsClinical Assessments
Manager, Utilization Management
Manager, Utilization Management
4 day ago
Centene Corporation
- Remote: Arizona (USA), California (USA), Oregon (USA), Washington (USA)
- Full time
Clinical Data AnalysisUtilization ManagementCompliance ManagementPrior Authorization
Utilization Management Team Lead
Utilization Management Team Lead
9 day ago
VCU Health
- Remote: Virginia (USA)
- Full time
Utilization Management
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
Clinical Coding and OASIS Review Manager
Clinical Coding and OASIS Review Manager
25 day ago
BAYADA Home Health Care
- Remote: Texas (USA)
- Full time
ICD 503
Utilization Reviewer
Utilization Reviewer
17 day ago
Genex Services
- Remote: Pennsylvania (USA)
- Full time
Nurse RegistryClinical Assessments
Clinical Integration Liaison - Licensed/Remote in CA
Clinical Integration Liaison - Licensed/Remote in CA
30+ days ago
Magellan Health
- Remote: California (USA)
- Full time
Clinical Data ExchangeUtilization ManagementProject ManagementMental Health Education
Spine Telecommute Medical Review Stream Physician
Spine Telecommute Medical Review Stream Physician
18 day ago
Concentra
- Remote: New Mexico (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Manager, Clinical Pharmacy for Prior Authorization- Remote
Manager, Clinical Pharmacy for Prior Authorization- Remote
8 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
Utilization ManagementClinical PharmacyPrior Authorization
Oracle Utilities MDM Consultant
Oracle Utilities MDM Consultant
25 day ago
Talpro - Leaders in Technology Hiring
- Remote: India
- Full time
Oracle Application Framework (OAF)Java (Programming Language)IBM InfoSphere MDM
REMOTE - Vice President Medical Director of Clinical Programs
REMOTE - Vice President Medical Director of Clinical Programs
9 day ago
Martin's Point Health Care
- Remote: Maine (USA)
- Full time
Clinical GovernanceUtilization ManagementAnalyticsTotal Quality Management
Medical Director
Medical Director
16 day ago
Impresiv Health
- Remote: Arizona (USA)
- Part time
PsychiatryBehavioral HealthMedical ManagementClinical Auditing
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
