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
344 jobs
Sort by:
Nurse Reviewer I
Nurse Reviewer I
Today
Elevance Health
- From: California (USA), Colorado (USA), Illinois (USA), Minnesota (USA), Nevada (USA), Washington (USA) (Full Remote)
- Full time
Utilization ManagementClinical NursingMedical ManagementPrior Authorization
Manager, Utilization Management
Manager, Utilization Management
Today
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementCompliance Management
Physician Reviewer
Physician Reviewer
1 day ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementAssessment And AuthorizationMedical ManagementCare Management
Supervisor, Behavioral Health Utilization Management
Supervisor, Behavioral Health Utilization Management
Today
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthManaged Care
Observation Clinical Analyst - RN
Observation Clinical Analyst - RN
Today
Sentara Healthcare
- From: Virginia (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementNursingMedical Necessity
Medical Director - Medicare Grievances and Appeals Corporate
Medical Director - Medicare Grievances and Appeals Corporate
Today
Humana
- From: United States (Full Remote)
- Full time
Healthcare Industry Knowledge
Compliance Program Manager (Clinical Audit & Oversight) 
Compliance Program Manager (Clinical Audit & Oversight)
2 day ago
Health Plan of San Joaquin
- From: California (USA) (Full Remote)
- Full time
Compliance ManagementProject ManagementClinical AuditingRegulatory Compliance
Bilingual Pharmacy Customer Service Representative
Bilingual Pharmacy Customer Service Representative
1 day ago
Rightway
- From: United States (Full Remote)
- Full time
LICSW, LMHC, LMFT, or Psychiatric RN (RN/LPN) - REMOTE
LICSW, LMHC, LMFT, or Psychiatric RN (RN/LPN) - REMOTE
Today
Morgan Stephens
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementBehavioral HealthMedical Guideline
Utilization Review Coordinator
Utilization Review Coordinator
2 day 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
3 day ago
Henry Ford Health
- From: Michigan (USA) (Full Remote)
- Full time
Care ManagementUtilization Management
Director, Commercial Care Management Operations
Director, Commercial Care Management Operations
1 day ago
Blue Cross NC
- From: Alabama (USA), Arizona (USA), Arkansas (USA), Florida (USA), Georgia (USA), Idaho (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Maryland (USA), Michigan (USA), Mississippi (USA), Missouri (USA) (Full Remote)
- Full time
General SurgeryHealthcare StrategyCare ManagementPublic Health
Physical Medicine & Rehabilitation Telecommute Medical Review Stream Physician
Physical Medicine & Rehabilitation Telecommute Medical Review Stream Physician
3 day ago
Concentra
- From: New Mexico (USA) (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Care Review Clinician II
Care Review Clinician II
5 day ago
APN Consulting Inc.
- From: Washington (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral Health
Sales Enablement Specialist (US/UK Remote)
Sales Enablement Specialist (US/UK Remote)
3 day ago
WTW
- From: Illinois (USA) (Full Remote)
- Full time
AnalyticsSales Automation Software
Texas State Dental Director DHMO
Texas State Dental Director DHMO
5 day ago
Guardian Life
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementDental ExperienceTotal Quality ManagementClaims And Litigation Management
Medical Director - Physical Medicine and Rehabilitation - EviCore - Remote
Medical Director - Physical Medicine and Rehabilitation - EviCore - Remote
1 day ago
The Cigna Group
- From: United States (Full Remote)
- Full time
Evidence-Based PracticeClinical AssessmentsClinical Assessments
Medical Director
Medical Director
Today
Lucet (formerly New Directions + Tridiuum)
- From: United States (Full Remote)
- Full time
Clinical GovernanceMedical DirectionManaged Care
Clinical CDI Specialist
Clinical CDI Specialist
7 day ago
Acuity Systems, Inc.
- From: Texas (USA) (Full Remote)
- Full time
Revenue ManagementTechnology AlignmentClinical Consulting
Psychologist Reviewer
Psychologist Reviewer
5 day 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)
7 day ago
Morgan Stephens
- From: Georgia (USA) (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceUsage Tracking
Utilization Management Coordinator II
Utilization Management Coordinator II
6 day 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
17 day ago
University of Miami
- From: Florida (USA) (Full Remote)
- Full time
Utilization ManagementReimbursement RegulationsData AbstractionClinical Documentation
Clinical Review Clinician - Appeals
Clinical Review Clinician - Appeals
8 day ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMedical Necessity
Utilization Management Coordinator (Home-Based) - Prior Authorization
Utilization Management Coordinator (Home-Based) - Prior Authorization
14 day ago
Sanford Health
- From: Wisconsin (USA) (Full Remote)
- Full time
Utilization ManagementCoding TheoryHealth Reimbursement ArrangementClinical Assessments
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- From: United Kingdom (Full Remote)
- Senior (5-10 years)
- 81 - 113K
Medical Management
RC Appellate Clinician - Remote $10K Sign on Bonus
RC Appellate Clinician - Remote $10K Sign on Bonus
15 day ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
InterQual CriteriaMedical Necessity
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
Resource Manager / Senior Resource Manager 
Resource Manager / Senior Resource Manager
8 day ago
Precision Medicine Group
- From: United Kingdom (Full Remote)
- Full time
Staff PlanningResource Management
Medical Assistant
Medical Assistant
2 day ago
Vida Health
- From: United States (Full Remote)
- Full time
Telehealth
RN Clinical Review Nurse - Prior Authorization
RN Clinical Review Nurse - Prior Authorization
14 day ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementNurse Licensure CompactMedical Necessity
Crisis Responder / Qualified Professional
Crisis Responder / Qualified Professional
15 day 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
13 day 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)
12 day 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
Senior FP&A & Costing Analyst
Senior FP&A & Costing Analyst
20 day ago
Epiq Systems (Private) Limited
- From: Arizona (USA), Florida (USA), Illinois (USA), Kansas (USA), New York (USA), Oregon (USA), Texas (USA) (Full Remote)
- Full time
Financial ManagementCost AccountingCost Benefit AnalysisAWS Cost Management
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
29 day 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
21 day 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
RN Senior Medical Reviewer - CGS
RN Senior Medical Reviewer - CGS
22 day ago
CGS Administrators, LLC
- From: South Carolina (USA), Tennessee (USA) (Full Remote)
- Full time
Clinical AssessmentsUtilization ManagementClinical AssessmentsCare Management
