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
392 jobs
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Psychologist Reviewer
Psychologist Reviewer
Just Now
Centene Corporation
- From: United States (Full Remote)
- Full time
Utilization ManagementNeuropsychological TestsPsychometricsApplied Behavior Analysis
RN Reviewer 
RN Reviewer
30+ days ago
Cohere Health
- From: United States (Full Remote)
- Mid-level (2-5 years)
- 28 - 28K
Utilization ManagementNursing
RN Compliance Auditor
RN Compliance Auditor
30+ days ago
Conviva Care Solutions
- From: 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) (Full Remote)
- Full time
- 3 - 97K
Nurse Licensure CompactUtilization Management
Nurse Advocate (Bilingual) at Renalogic
Nurse Advocate (Bilingual) at Renalogic
17 days ago
Renalogic
- From: United States (Full Remote)
- Full time
Chronic CareNurse Licensure CompactRisk Analysis
Medical Case Manager I (RN)
Medical Case Manager I (RN)
30+ days ago
CorVel Corporation
- From: United States, Missouri (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Nurse Registry
Physician Reviewer, Neurological Surgery - NV
Physician Reviewer, Neurological Surgery - NV
30+ days ago
Dane Street, LLC
- From: Nevada (USA) (Full Remote)
- Fixed term
Utilization ManagementAdvisory CircularMedical NecessityClinical Consulting
RMD - Virtual Care
RMD - Virtual Care
30+ days ago
CenterWell Senior Primary Care
- From: Florida (USA), Mississippi (USA) (Full Remote)
- Full time
Regulatory ComplianceMedical ManagementHealthcare Strategy
Manager, RelOne Operations
Manager, RelOne Operations
17 days ago
Lighthouse
- From: United States (Full Remote)
- Full time
Performance Analysis
CISC Care Coordinator, Licensed
CISC Care Coordinator, Licensed
30+ days ago
Magellan Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
- 58 - 93K
Clinical AssessmentsUtilization Management
Market Physician Executive - Atlanta, GA
Market Physician Executive - Atlanta, GA
Just Now
Monogram Health
- From: Georgia (USA) (Full Remote)
- Full time
Clinical GovernanceEvidence-Based PracticePublic HealthRenal Function
Senior FP&A & Costing Analyst
Senior FP&A & Costing Analyst
21 days ago
Epiq
- From: Arizona (USA), Florida (USA), Illinois (USA), Kansas (USA), New York (USA), Oregon (USA), Texas (USA) (Full Remote)
- Full time
Financial ManagementProcess CostingCost AccountingCost Benefit Analysis
Utilization Review Case Manager - SUD
Utilization Review Case Manager - SUD
30+ days ago
Discovery Behavioral Health
- From: United States, California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 74 - 74K
Manager, Non-Clinical Care Management (State of Oregon)
Manager, Non-Clinical Care Management (State of Oregon)
Today
Comagine Health
- From: Anywhere (Full Remote)
- Full time
Business OperationsCompliance ManagementMedical ManagementTotal Quality Management
Sales Solutions Architect
Sales Solutions Architect
10 days ago
MCG Health
- From: United States (Full Remote)
- Full time
Customer EngagementClinical Consulting
Medical Director - Pediatric Pulmonology - EviCore - Remote
Medical Director - Pediatric Pulmonology - EviCore - Remote
30+ days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 203 - 338K
Evidence-Based PracticePulmonologyClinical Assessments
Oncologist Utilization Review - PRN (1099)
Oncologist Utilization Review - PRN (1099)
24 days ago
Medical Review Institute
- From: Maryland (USA), Minnesota (USA), New Mexico (USA), Texas (USA), Virginia (USA) (Full Remote)
- Freelance
OncologyHematologyUtilization Management
RMD - Virtual Care
RMD - Virtual Care
30+ days ago
CenterWell Senior Primary Care
- From: Mississippi (USA), Texas (USA) (Full Remote)
- Full time
Clinical GovernancePhysician CredentialingMedical Management
RN Utilization Management (Relief)
RN Utilization Management (Relief)
8 days ago
St. Charles Health System
- From: United States (Full Remote)
- Part time
Utilization ManagementPatient Progress NotesMedical NecessityProcess Improvement
Supervisor PA & UM Programs
Supervisor PA & UM Programs
30+ days ago
MedImpact Healthcare Systems, Inc.
- From: California (USA) (Full Remote)
- Full time
Clinical InvestigationsPrior AuthorizationPharmacy Operations
RN Coordinator Utilization Management
RN Coordinator Utilization Management
30+ days ago
Network Health WI
- From: Wisconsin (USA) (Full Remote)
- Full time
Care ManagementUtilization ManagementAssessment And AuthorizationClinical Assessments
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Medical ManagementClinical Assessments
Associate Director, Sponsor Success
Associate Director, Sponsor Success
16 days ago
OneStudyTeam
- From: United States (Full Remote)
- Full time
Customer Success ManagementProject ManagementCustomer Relationship Management
UM Administration Coordinator
UM Administration Coordinator
30+ days ago
Conviva Care Solutions
- From: United States, Florida (USA) (Full Remote)
- Full time
- Junior (1-2 years)
- 40 - 52K
Utilization ManagementPrior Authorization
Utilization review Nurse
Utilization review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare Coordination
Medical Director
Medical Director
19 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementQuality Assessment
Care Coordinator- CISC
Care Coordinator- CISC
30+ days ago
Magellan Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
- 50 - 75K
Managed Care Coordinator I – UM
Managed Care Coordinator I – UM
Today
BlueCross BlueShield of South Carolina
- From: Anywhere (Full Remote)
- Full time
Medical NecessityHealth And Wellness CoachingClinical Consulting
Behavioral Health Clinical Liaison
Behavioral Health Clinical Liaison
10 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical Social WorkFamily TherapyMental Health Counseling
RN Case Manager II
RN Case Manager II
30+ days ago
CorVel Corporation
- From: United States, Oregon (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Nurse Licensure CompactUtilization ManagementNeurology
Cardiac Electrophysiology Physician Advisor, Disability Peer Review
Cardiac Electrophysiology Physician Advisor, Disability Peer Review
22 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Medical GuidelineCardiologyClinical Assessments
Registered Nurse Advocate, Proactive Care Management
Registered Nurse Advocate, Proactive Care Management
30+ days ago
EPIC Insurance Brokers & Consultants
- From: United States (Full Remote)
- Full time
Care ManagementUtilization ManagementClinical Auditing
Care Management Associate I (Appeals)
Care Management Associate I (Appeals)
30+ days ago
NYC Health + Hospitals
- From: United States, New York (USA) (Full Remote)
- Mid-level (2-5 years)
ICD 503AppealsUtilization Management
Senior Accreditation Utilization Management Professional
Senior Accreditation Utilization Management Professional
8 days ago
Humana
- From: United States (Full Remote)
- Full time
Utilization ManagementCompliance Management
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- From: United States (Full Remote)
- Freelance
- Senior (5-10 years)
Project ManagementUtilization Management
Clinical Sales Pharmacist Consultant
Clinical Sales Pharmacist Consultant
30+ days ago
MedImpact Healthcare Systems, Inc.
- From: United States, California (USA) (Full Remote)
- Freelance
- Mid-level (2-5 years)
Clinical ConsultingPharmacy Benefit ManagementUtilization Management
Clinical Review Clinician - Appeals
Clinical Review Clinician - Appeals
28 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisAppealsNurse Licensure CompactMedical Necessity
Utilization Review Nurse, Full-Time (9a-9p EST), Remote
Utilization Review Nurse, Full-Time (9a-9p EST), Remote
11 days ago
Netsmart
- From: United States (Full Remote)
- Full time
Utilization ManagementNurse Licensure CompactInterQual Criteria
Lead Actuarial Analyst
Lead Actuarial Analyst
30+ days ago
Cohere Health
- From: United States (Full Remote)
- Full time
Prior AuthorizationFinancial ModelingHealthcare AnalyticsCost Benefit Analysis
Clinical Letter Writer - UM & Specialty Experience is a MUST
Clinical Letter Writer - UM & Specialty Experience is a MUST
14 days ago
New Century Health
- From: United States (Full Remote)
- Full time
Utilization ManagementCardiologyMedical WritingOncology
Medical Director - Gulf South
Medical Director - Gulf South
30+ days ago
Conviva Care Solutions
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 199 - 274K
Utilization Management
Field Medical Director, Radiology (Endocrinology)
Field Medical Director, Radiology (Endocrinology)
30+ days ago
New Century Health
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsClinical Assessments
Senior Medical Director Medicare
Senior Medical Director Medicare
10 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
MedicaidMedicareHealthcare StrategyUtilization Management
Pre-Authorization Registered Nurse
Pre-Authorization Registered Nurse
30+ days ago
Conviva Care Solutions
- From: United States, Laos, Louisiana (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 37 - 87K
Medical NecessityUtilization ManagementNursing
RN Care Management Coordinator #36314
RN Care Management Coordinator #36314
30+ days ago
Contemporary Staffing Solutions
- From: United States (Full Remote)
- 64 - 72K
Behavioral HealthUtilization ManagementHealth Policies
Workforce Analyst
Workforce Analyst
30+ days ago
SeatGeek
- From: United States (Full Remote)
- Full time
AnalyticsWorkforce Planning
Medical Director - Physical Medicine and Rehabilitation - EviCore - Remote
Medical Director - Physical Medicine and Rehabilitation - EviCore - Remote
Today
eviCore healthcare
- From: United States (Full Remote)
- Full time
Evidence-Based PracticeMedical NecessityMedical DevicesClinical Assessments
Remote Licensed Clinical Therapist - NC/SC licenses
Remote Licensed Clinical Therapist - NC/SC licenses
Just Now
Monte Nido
- From: United States (Full Remote)
- Freelance
PsychotherapyClinical Social WorkCounseling TechniquesEmotional Disorders
Registered Nurse (RN), Utilization Review MediGold Health Plan - Remote
Registered Nurse (RN), Utilization Review MediGold Health Plan - Remote
30+ days ago
Trinity Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical AssessmentsUtilization ManagementNursing
Nursing - RN Level 1 RN Level 1
Nursing - RN Level 1 RN Level 1
30+ days ago
US Tech Solutions
- From: United States, New Jersey (USA) (Full Remote)
- Fixed term
- Mid-level (2-5 years)
Nurse Licensure Compact
Utilization Review Specialist
Utilization Review Specialist
30+ days ago
Charlie Health
- From: United States (Full Remote)
- Full time
Insurance LawUtilization ManagementHospital ExperienceProject Management
