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
370 jobs
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Medical/UM Clinical Guideline Writer
Medical/UM Clinical Guideline Writer
3 day ago
Evolent Health
- Remote: United States
- Full time
Utilization ManagementMedical GuidelineMedical WritingHospital ExperienceLearning Content Management Systems (LCMS)
Utilization Review Nurse - Remote
Utilization Review Nurse - Remote
6 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Utilization ManagementMedical NecessityClinical DocumentationNurse Licensure CompactCost ContainmentHolistic Nursing
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
5 day ago
Centene Corporation
- Remote: Florida (USA), Georgia (USA), North Carolina (USA)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse AssessmentsDischarge PlanningClient Education
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Indiana (USA)
- Full time
Care ManagementTreatment PlanningPatient Education And CounselingWorkers' CompensationHuman Musculoskeletal SystemClinical Practices
Clinical Operations Director
Clinical Operations Director
30+ days ago
TapTalent.ai
- Remote: Philippines
- Full time
- Mid-level (2-5 years)
Regulatory CompliancePerformance MetricUtilization ManagementProject ManagementGeneral SurgeryAnalytics
System Physician Advisor
System Physician Advisor
30+ days ago
CommonSpirit Health
- Remote: Texas (USA)
- Full time
Utilization ManagementRegulatory ComplianceICD 503Clinical DocumentationClinical PracticesPeer Review
Clinical Admissions Therapist (New Hampshire)
Clinical Admissions Therapist (New Hampshire)
11 day ago
Charlie Health
- Remote: New Hampshire (USA)
- Full time
TelehealthPsychosocial AssessmentsMental Health AssessmentsMental Health AssessmentsUtilization ManagementElectronic Medical Record
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
25 day ago
EK Health Services Inc.
- Remote: Idaho (USA)
- Full time
Case Management SystemsData EntryUtilization ManagementLaser ScanningMedical AbbreviationsOrganizational Structure
Grievance and Appeals Nurse Specialist
Grievance and Appeals Nurse Specialist
11 day ago
Partnership HealthPlan of California
- Remote: California (USA)
- Full time
Care ManagementGrievance ArbitrationUtilization ManagementClinical AssessmentsDocumentation GenerationNurse Licensure Compact
Market Physician Executive - Nashville, TN
Market Physician Executive - Nashville, TN
30+ days ago
Monogram Health
- Remote: Tennessee (USA)
- Full time
Clinical GovernanceEvidence-Based PracticeBasic Patient CarePublic HealthMedical Licensing (Health Law)Managed Care
Senior Business Analyst
Senior Business Analyst
30+ days ago
Samaritan Health Services
- Remote: Oregon (USA)
- Full time
Database DesignSQL (Programming Language)Business AnalysisProject ManagementData ManagementUser Acceptance Testing (UAT)
Care Manager, Health Plan - Licensed / Remote in CA
Care Manager, Health Plan - Licensed / Remote in CA
6 day ago
Magellan Health
- Remote: California (USA)
- Full time
Health Risk AssessmentsBehavioral HealthCare ManagementClinical MedicineInpatient CareUtilization Management
Market Physician Executive (MPE) - Phoenix, AZ
Market Physician Executive (MPE) - Phoenix, AZ
30+ days ago
Monogram Health
- Remote: Arizona (USA)
- Full time
Evidence-Based PracticeMedical GuidelinePublic HealthOutcomes ResearchRehabilitationHEDIS (Healthcare Effectiveness Data And Information Set)
Manager Medical Policy and Corporate Coding
Manager Medical Policy and Corporate Coding
24 day ago
Capital Blue Cross
- Remote: Pennsylvania (USA)
- Full time
Clinical GovernanceHealth PoliciesRegulatory ComplianceCoding TheoryCross-Functional CollaborationRegulatory Compliance
Customer Execution and Clinical Monitoring Specialist
Customer Execution and Clinical Monitoring Specialist
5 day ago
RippedBoxStation
- Remote: Philippines
- Full time
Utilization ManagementHealth ScreeningsMedical DevicesElectronic Medical RecordConflict ResolutionQuality Assessment
Utilization Review Nurse - LPN (Remote)
Utilization Review Nurse - LPN (Remote)
15 day ago
Morgan Stephens
- Remote: Georgia (USA)
- Full time
Utilization ManagementUsage TrackingProcess ImprovementCare ManagementNursingRegulatory Compliance
Senior Benefits Consultant
Senior Benefits Consultant
6 day ago
Brown & Brown Insurance
- Remote: South Dakota (USA)
- Full time
Benefits AdministrationCompliance ManagementCorporate Financial ReportingMarketingCustomer Relationship ManagementUtilization 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
25 day ago
EK Health Services Inc.
- Remote: Arizona (USA)
- Full time
Case Management SystemsData EntryUtilization ManagementEmail SoftwareMedical AbbreviationsCategory Management
Sr Utilization Management
Sr Utilization Management
30+ days ago
Saviance Technologies Pvt. Ltd.
- Remote: Suriname
- Full time
- Senior (5-10 years)
Basic Patient CareMedicaidOrganizational StructureUtilization ManagementICD Coding (ICD-9/ICD-10)Online Communication
Clinical Performance Partner
Clinical Performance Partner
9 day ago
Unified Women's Healthcare
- Remote: Texas (USA)
- Full time
Value-Based CareAnalyticsHealthcare Industry KnowledgeQuality AssessmentProcess OptimizationPerformance Improvement
Medical Director Utilization Management Oncology: Remote 
Medical Director Utilization Management Oncology: Remote
25 day ago
The Oncology Institute
- Remote: California (USA)
- Full time
OncologyClinical InformaticsUtilization ManagementOncologyMedical DirectionTreatment Planning
Market Physician Executive - California
Market Physician Executive - California
30+ days ago
Monogram Health
- Remote: California (USA)
- Full time
Evidence-Based PracticeMedical GuidelinePublic HealthRenal FunctionMedicaidMedicare
Lead Actuarial Analyst
Lead Actuarial Analyst
4 day ago
Cohere Health
- Remote: United States
- Full time
Prior AuthorizationFinancial ModelingHealthcare AnalyticsCost Benefit AnalysisAnalyticsSQL (Programming Language)
Medical Field Case Manager $2000 Signing Bonus
Medical Field Case Manager $2000 Signing Bonus
16 day ago
Genex Services
- Remote: Florida (USA)
- Full time
Care ManagementNursingWorkers' CompensationClinical PracticesRehabilitationOccupational Health
Clinical Reviewer - LPN
Clinical Reviewer - LPN
24 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Utilization ManagementClinical NursingManaged CareMedical Record ManagementMedical AbbreviationsElectronic Referrals
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Connecticut (USA)
- Full time
Nurse RegistryWorkers' CompensationBasic Patient CareCare ManagementHome Health CareRehabilitation
Physician Reviewer, Neurological Surgery - NV
Physician Reviewer, Neurological Surgery - NV
5 day ago
Dane Street, LLC
- Remote: Nevada (USA)
- Fixed term
Utilization ManagementAdvisory CircularMedical NecessityClinical ConsultingMedical Licensing (Health Law)Internal Documentation
Internal Medicine Telecommute Medical Review Stream
Internal Medicine Telecommute Medical Review Stream
27 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Business NegotiationBasic Patient CareStandards Organization
UR Index Intake Coordinator - REMOTE! Mon- Fri 10am - 7pm PST
UR Index Intake Coordinator - REMOTE! Mon- Fri 10am - 7pm PST
30+ days ago
EK Health Services Inc.
- Remote: Nevada (USA)
- Full time
Utilization ManagementData EntryElectronic Medical RecordMedical AbbreviationsCategory ManagementIndexing
Family Practice Telecommute Medical Review
Family Practice Telecommute Medical Review
27 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Medical NecessityManaged CareCredential Manager
Utilization Review Nurse - LPN (Remote)
Utilization Review Nurse - LPN (Remote)
15 day ago
Morgan Stephens
- Remote: Georgia (USA)
- Full time
Utilization ManagementUsage TrackingProcess ImprovementCare ManagementNursingRegulatory Compliance
Clinical Specialist - Performance Improvement
Clinical Specialist - Performance Improvement
12 day ago
Detroit Wayne Integrated Health Network
- Remote: Michigan (USA)
- Full time
Utilization ManagementProject ManagementQuality AssessmentBehavioral HealthEducational AssessmentQualification Protocols (IQ/OQ/PQ)
LPN – Utilization Management (Shift Care Team)
LPN – Utilization Management (Shift Care Team)
13 day ago
The CKHobbie Group
- Remote: Pennsylvania (USA)
- Full time
Care CoordinationUtilization ManagementPediatric NursingCompliance ManagementHealth PoliciesInternal Documentation
Neurologist Medical Review Stream
Neurologist Medical Review Stream
27 day ago
Concentra
- Remote: California (USA)
- Full time
NeurologyUtilization ManagementLanguage InterpretationManaged CareBusiness Negotiation
Telecommute Medical Review Stream Physician
Telecommute Medical Review Stream Physician
27 day ago
Concentra
- Remote: Louisiana (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Plastic SurgeryRehabilitationPhysical Medicine And Rehabilitation
Utilization Management Behavioral Health Professional
Utilization Management Behavioral Health Professional
5 day ago
Humana
- Remote: Illinois (USA), Indiana (USA), Missouri (USA), Ohio (USA), Tennessee (USA), Virginia (USA), West Virginia (USA)
- Full time
Utilization ManagementBehavioral HealthClinical MedicineBehavioral Change TheoriesHealth And Human ServicesPublic Health
Medical Policy Clinical Specialist
Medical Policy Clinical Specialist
30+ days ago
Premera Blue Cross
- Remote: Washington (USA)
- Full time
Clinical MedicineMedical WritingHealth Policy DevelopmentUtilization ManagementProject ManagementStatistical Analysis
Transitions of Care - RN
Transitions of Care - RN
5 day ago
Elevance Health
- Remote: Tennessee (USA)
- Full time
Patient Education And CounselingNurse Licensure CompactHealth And Wellness CoachingMotivational InterviewingCare CoordinationBehavior Evaluation
Sr Customer Marketing Manager
Sr Customer Marketing Manager
19 day ago
Cribl
- Remote: Canada
- Full time
Data MiningCustomer MarketingDigital MarketingSalesforceBudget ManagementTransportation Management
Medical Field Case Manager
Medical Field Case Manager
30+ days ago
Genex Services
- Remote: Pennsylvania (USA)
- Full time
Care ManagementClinical NursingWorkers' CompensationPatient Education And CounselingEducational AssessmentTreatment Planning
Care Management Associate I (Appeals)
Care Management Associate I (Appeals)
28 day ago
NYC Health + Hospitals
- Remote: New York (USA)
- Full time
ICD 503CppunitMedical AbbreviationsAppealsUtilization ManagementData Entry
Utilization Management LTSS Registered Nurse
Utilization Management LTSS Registered Nurse
19 day ago
Humana
- Remote: Kentucky (USA), Maryland (USA), North Carolina (USA), Tennessee (USA), West Virginia (USA)
- Full time
Utilization ManagementNurse Licensure CompactClinical NursingInternal DocumentationHome Health CareDischarge Planning
Care Management Social Worker
Care Management Social Worker
9 day ago
Cambia Health Solutions
- Remote: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA)
- Full time
Care ManagementBehavioral HealthCare ManagementHealthcare Industry KnowledgeCare CoordinationOrganizational Structure
Field Medical Director, Oncology
Field Medical Director, Oncology
4 day ago
New Century Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical OncologyMedical Licensing (Health Law)Continuous TrainingInternal Documentation
Medical Management Specialist Sr
Medical Management Specialist Sr
9 day ago
Elevance Health
- Remote: Indiana (USA), Virginia (USA)
- Full time
Utilization ManagementMedical ManagementCare ManagementQuality AssessmentMedicaidMedicare
USRN/New NCLEX Passer
USRN/New NCLEX Passer
14 day ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
Utilization ManagementNursingBasic Patient Care
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 ManagementNeurologyPhysical Medicine And RehabilitationCost ContainmentOrthopedicsNurse Registry
SNF UM RN Nurse
SNF UM RN Nurse
4 day ago
Humana
- Remote: United States
- Full time
Utilization ManagementClinical NursingPulmonary NursingCritical CareUtilization ManagementHospital Experience
VP, Clinical Operations
VP, Clinical Operations
26 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
General SurgeryMedical ManagementPolicy DevelopmentPublic HealthUtilization ManagementCare Management
