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
405 jobs :
Senior Jiva Project Manager
Senior Jiva Project Manager
2 day ago
Impresiv Health
- Fixed term
- Remote: United States, Ohio (USA)
Medical Director, Utilization Management (UM) & Quality Assurance (QA)
Medical Director, Utilization Management (UM) & Quality Assurance (QA)
3 day ago
Clover Health
- Remote: United States
Clinical Documentation Specialist PRN
Clinical Documentation Specialist PRN
1 day ago
Wellstar Health System
- Part time
- Remote: United States
Case Management Analyst
Case Management Analyst
1 day ago
The Cigna Group
- Full time
- Remote: United States, Tennessee (USA)
USRN (Utilization Management)
USRN (Utilization Management)
30+ days ago
Nezda Technologies Inc.
- Full time
- Remote: Philippines
Remote Medical Director - Texas
Remote Medical Director - Texas
8 day ago
Centene Corporation
- Full time
- 231 - 440K
- Remote: United States, Texas (USA)
Customer Success Manager
Customer Success Manager
30+ days ago
Salsify
- 32 - 38K
- Remote: Portugal
Clinical Review Clinician - Appeals (RN)
Clinical Review Clinician - Appeals (RN)
1 day ago
Centene Corporation
- Full time
- 50 - 91K
- Remote: United States
Senior Director, Provider Relations
Senior Director, Provider Relations
10 day ago
Centene Corporation
- Full time
- 145 - 268K
- Remote: United States
Utilization Mgmt Specialist RN
Utilization Mgmt Specialist RN
1 day ago
MultiCare Health System
- Full time
- 98 - 174K
- Remote: United States
Central Utilization Management Supervisor
Central Utilization Management Supervisor
3 day ago
Sutter Health
- Full time
- 131 - 210K
- Remote: United States, California (USA)
Care Management Support Professional
Care Management Support Professional
4 day ago
Humana
- Full time
- 45 - 61K
- Remote: United States, Florida (USA)
Supervisor Case Management
Supervisor Case Management
1 day ago
BlueCross BlueShield of Tennessee
- Full time
- Remote: United States, Tennessee (USA)
Supervisor Case Management - West Virginia (Licensed)
Supervisor Case Management - West Virginia (Licensed)
9 day ago
Highmark Health
- Full time
- 67 - 126K
- Remote: United States, West Virginia (USA)
Care Manager RN (Delaware)
Care Manager RN (Delaware)
3 day ago
Highmark Health
- Full time
- 19 - 96K
- Remote: United States, Sudan, Azerbaijan, Laos, China, Tunisia, Norway, Italy, Colombia, Alaska (USA), Arkansas (USA), Delaware (USA), Florida (USA), Illinois (USA), Kansas (USA)
Clinical Document Specialist (RN)
Clinical Document Specialist (RN)
5 day ago
UMass Memorial Medical Center
- Full time
- Remote: United States, Massachusetts (USA)
Care Management Assistant Weekends
Care Management Assistant Weekends
11 day ago
UAMS - University of Arkansas for Medical Sciences
- Full time
- 50 - 50K
- Remote: United States, Arkansas (USA)
Medical Director - New Hampshire
Medical Director - New Hampshire
9 day ago
Centene Corporation
- Full time
- 206 - 392K
- Remote: United States
Manager, Care Management (LTSS - ABD)
Manager, Care Management (LTSS - ABD)
16 day ago
Humana
- Full time
- 86 - 118K
- Remote: United States, North Carolina (USA), Virginia (USA), West Virginia (USA)
UM Clinical Denial Manager
UM Clinical Denial Manager
3 day ago
Sutter Health
- Full time
- 159 - 254K
- Remote: United States, California (USA)
Manager, Healthcare Analytics
Manager, Healthcare Analytics
5 day ago
Centene Corporation
- Full time
- 105 - 195K
- Remote: United States
Sr Clinical Policy Analyst
Sr Clinical Policy Analyst
10 day ago
Healthfirst
- Full time
- 71 - 117K
- Remote: United States
Orthopedic Surgeon Telecommute Medical Review Stream
Orthopedic Surgeon Telecommute Medical Review Stream
30+ days ago
Concentra
- Remote: United Kingdom
Medical Director - EviCore
Medical Director - EviCore
3 day ago
The Cigna Group
- Full time
- 203 - 338K
- Remote: United States
RN Senior Medical Reviewer - CGS
RN Senior Medical Reviewer - CGS
3 day ago
BlueCross BlueShield of South Carolina
- Full time
- Remote: United States, South Carolina (USA), Tennessee (USA)
Full Time Registered Nurse, High Risk Maternity - Remote
Full Time Registered Nurse, High Risk Maternity - Remote
11 day ago
PlushCare
- Full time
- 82 - 82K
- Remote: United States
Physician Reviewer BH PRU
Physician Reviewer BH PRU
16 day ago
Blue Cross Blue Shield of Massachusetts
- 232 - 284K
- Remote: United States, Massachusetts (USA)
Appeals Processing Analyst- RN
Appeals Processing Analyst- RN
1 day ago
The Cigna Group
- Full time
- Remote: United States, Tennessee (USA)
RN I
RN I
13 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Full time
- 69 - 93K
- Remote: United States, Iran, New Jersey (USA)
RN Compliance Auditor
RN Compliance Auditor
17 day ago
Conviva Care Solutions
- Full time
- 3 - 97K
- Remote: United States, Georgia (country), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), District of Columbia (USA), Florida (USA), Idaho (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA)
Program Director - Eating Disorder, Residential
Program Director - Eating Disorder, Residential
30+ days ago
Discovery Behavioral Health
- Full time
- 77 - 95K
- Remote: United States, California (USA)
Medical Director (Clinical Chart Validation Team)
Medical Director (Clinical Chart Validation Team)
25 day ago
Cotiviti
- Full time
- 190 - 260K
- Remote: United States
Full Time - Registered Nurse - Adult Complex Case Management - Remote
Full Time - Registered Nurse - Adult Complex Case Management - Remote
15 day ago
PlushCare
- Full time
- 82 - 82K
- Remote: United States
Behavioral Health Clinical Liaison
Behavioral Health Clinical Liaison
24 day ago
Centene Corporation
- Full time
- 68 - 123K
- Remote: United States
Medical Director - Claims Management
Medical Director - Claims Management
3 day ago
Humana
- Full time
- 223 - 313K
- Remote: United States, Kentucky (USA)
USRN
USRN
30+ days ago
Nezda Technologies Inc.
- Full time
- Remote: Philippines
Utilization Review Author
Utilization Review Author
3 day ago
R1 RCM
- Full time
- 35 - 75K
- Remote: United States
Medical Director - Mid West Region
Medical Director - Mid West Region
10 day ago
Humana
- Full time
- 223 - 313K
- Remote: United States
Care Manager, SCO
Care Manager, SCO
30+ days ago
Saviance Technologies Pvt. Ltd.
- Remote: Kentucky (USA), Massachusetts (USA)
Mental Health Therapist - Outpatient
Mental Health Therapist - Outpatient
30+ days ago
Discovery Behavioral Health
- Full time
- 60 - 90K
- Remote: United States, District of Columbia (USA), Washington (USA)
Medical Director - South Central
Medical Director - South Central
9 day ago
Humana
- Full time
- 223 - 313K
- Remote: United States
Medical Principal
Medical Principal
3 day ago
The Cigna Group
- Full time
- 206 - 343K
- Remote: United States
Medical Case Management WC/UR Supervisor
Medical Case Management WC/UR Supervisor
30+ days ago
TRISTAR Insurance Group
- Full time
- 19 - 192K
- Remote: United States, South Carolina (USA)
Clinical UM Supervisor
Clinical UM Supervisor
30+ days ago
UST HealthProof
- Full time
- 51 - 77K
- Remote: United States
Intake Coordinator
Intake Coordinator
3 day ago
Highmark Health
- Full time
- 19 - 96K
- Remote: United States, Sudan, Laos, China, Tunisia, Norway, Italy, Colombia, Alaska (USA), Illinois (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Maryland (USA), Mississippi (USA)
Clinical Denials Coordinator
Clinical Denials Coordinator
30+ days ago
WVU Medicine
- Full time
- 7 - 19K
- Remote: United States
Clinical Program Consultant or Senior DOE
Clinical Program Consultant or Senior DOE
25 day ago
Regence BlueCross BlueShield of Oregon
- Freelance
- 78 - 154K
- Remote: United States
Prior Authorization Nurse Analyst (RN) - REMOTE
Prior Authorization Nurse Analyst (RN) - REMOTE
30+ days ago
WPS Health Solutions
- Full time
- 66 - 68K
- Remote: United States
RN Health Coordinator - $5,000 Sign On - Field Based on Oahu, HI
RN Health Coordinator - $5,000 Sign On - Field Based on Oahu, HI
25 day ago
UnitedHealthcare
- 53 - 105K
- Remote: United States, Hawaii (USA)
Utilization Clinical Reviewer
Utilization Clinical Reviewer
30+ days ago
TriWest Healthcare Alliance
- Full time
- 73 - 93K
- Remote: United States, Arizona (USA)
