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
335 jobs
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Market Physician Executive - California
Market Physician Executive - California
30+ days ago
Monogram Health
- Remote: California (USA)
- Full time
Evidence-Based PracticeMedical GuidelinePublic HealthRenal FunctionMedicaidMedicare
Resource Management Coordinator
Resource Management Coordinator
3 day ago
GuidePoint Security
- Remote: United States
- Full time
Identity And Access ManagementProject ManagementResource ManagementSalesforceProfessional Services AutomationGeneral Security
Medical Field Case Manager
Medical Field Case Manager
27 day ago
Genex Services
- Remote: Connecticut (USA)
- Full time
Nurse RegistryWorkers' CompensationBasic Patient CareCare ManagementHome Health CareRehabilitation
Internal Medicine Telecommute Medical Review Stream
Internal Medicine Telecommute Medical Review Stream
22 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Business NegotiationBasic Patient CareStandards Organization
Concurrent Utilization Review Nurse (Work from Home)
Concurrent Utilization Review Nurse (Work from Home)
4 day ago
Bright Health
- Remote: California (USA)
- Full time
Utilization ManagementMedical GuidelineElectronic Health Record ApplicationsMedical NecessityInterQual CriteriaCare Management
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
USRN/New NCLEX Passer
USRN/New NCLEX Passer
9 day ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
Utilization ManagementNursingBasic Patient Care
Strategy & Business Development Analyst II
Strategy & Business Development Analyst II
5 day ago
Essentia Health
- Remote: North Dakota (USA)
- Full time
AnalyticsMarket AnalysisBusiness IntelligencePerformance AnalyticsQualitative Data AnalysisDatabase Management
Family Practice Telecommute Medical Review
Family Practice Telecommute Medical Review
22 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Medical NecessityManaged CareCredential Manager
Sr Customer Marketing Manager
Sr Customer Marketing Manager
13 day ago
Cribl
- Remote: Canada
- Full time
Data MiningCustomer MarketingDigital MarketingSalesforceBudget ManagementTransportation Management
Engagement Manager - Provider Network Management - Texas
Engagement Manager - Provider Network Management - Texas
28 day ago
WellSky
- Remote: Texas (USA)
- Full time
Utilization ManagementClient EducationAnalyticsStrategy ExecutionMedical Record ManagementEvidence-Based Practice
Utilization Management LTSS Registered Nurse
Utilization Management LTSS Registered Nurse
13 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
VP, Clinical Operations
VP, Clinical Operations
21 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
General SurgeryMedical ManagementPolicy DevelopmentPublic HealthUtilization ManagementCare Management
Neurologist Medical Review Stream
Neurologist Medical Review Stream
22 day ago
Concentra
- Remote: California (USA)
- Full time
NeurologyUtilization ManagementLanguage InterpretationManaged CareBusiness Negotiation
Primary Therapist - Virtual - (East Coast - NY license)
Primary Therapist - Virtual - (East Coast - NY license)
18 day ago
Monte Nido
- Remote: New York (USA)
- Full time
Group TherapyFamily TherapyEating Disorder TreatmentUtilization ManagementDischarge PlanningNutrition Intervention
IP Manager
IP Manager
6 day ago
Finning
- Remote: Chile
- Full time
Process OptimizationProject ManagementPerformance MetricCustomer Relationship ManagementAnalyticsProject Integration
Telecommute Medical Review Stream Physician
Telecommute Medical Review Stream Physician
22 day ago
Concentra
- Remote: Louisiana (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Plastic SurgeryRehabilitationPhysical Medicine And Rehabilitation
Concurrent Utilization Review Nurse (Work from Home)
Concurrent Utilization Review Nurse (Work from Home)
4 day ago
NeueHealth
- Remote: California (USA)
- Full time
Utilization ManagementMedical GuidelineMedical NecessityElectronic Health Record ApplicationsCare ManagementUtilization Management
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
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)
23 day ago
NYC Health + Hospitals
- Remote: New York (USA)
- Full time
ICD 503CppunitMedical AbbreviationsAppealsUtilization ManagementData Entry
RN II
RN II
7 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Utilization ManagementMotivational InterviewingNurse Licensure CompactCare ManagementCare ManagementClinical Assessments
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
Utilization Management Coordinator (Home-Based) - Prior Authorization
Utilization Management Coordinator (Home-Based) - Prior Authorization
3 day ago
Sanford Health
- Remote: United States
- Full time
Authorization (Computing)Utilization ManagementCoding TheoryHealth Reimbursement ArrangementData ManagementInternal Communications
Medical Field Case Manager
Medical Field Case Manager
21 day ago
Genex Services
- Remote: Vermont (USA)
- Full time
Care ManagementPatient EvaluationTreatment PlanningWorkers' Compensation ClaimsClinical PracticesOnline Communication
Business Analysis Advisor
Business Analysis Advisor
25 day ago
NTT DATA
- Remote: Maryland (USA)
- Full time
Utilization ManagementHealth ScreeningsICD Coding (ICD-9/ICD-10)Electronic Health Record ApplicationsClinical NursingCPT Coding
VP, Clinical Operations
VP, Clinical Operations
21 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Clinical System OperationsMedicarePolicy DevelopmentPublic HealthAnalyticsMedical Management
HRSN Specialist RN I
HRSN Specialist RN I
14 day ago
Samaritan Health Services
- Remote: Arizona (USA), Arkansas (USA), Connecticut (USA), Florida (USA), Georgia (USA), Idaho (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Michigan (USA), Mississippi (USA), Missouri (USA), Montana (USA)
- Full time
MedicaidClinical NursingMedical AbbreviationsHealthcare Delivery ModelsDigital File ManagementICD Coding (ICD-9/ICD-10)
USRN (Utilization Management)
USRN (Utilization Management)
30+ days ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
- Junior (1-2 years)
Utilization ManagementMedical Insurance ClaimsMedical Record Management
Customer Success Manager
Customer Success Manager
30+ days ago
Salsify
- Remote: Portugal
- 32 - 38K
Customer Success ManagementChange ManagementCustomer RetentionSalesforceCustomer Success ManagementBusiness Valuation
Clinical Product Consultant - UM
Clinical Product Consultant - UM
23 day ago
Iodine Software
- Remote: Texas (USA)
- Full time
Utilization ManagementProject ManagementClinical AssessmentsInterQual CriteriaCare ManagementChronic Care
Utilization Review Clinician (RN, PT, OT) - Remote
Utilization Review Clinician (RN, PT, OT) - Remote
3 day ago
WellSky
- Remote: United States
- Full time
Care CoordinationUtilization ManagementMedical GuidelineMedical NecessityInterQual CriteriaCare Management
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
22 day ago
Concentra
- Remote: Texas (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Credential ManagerManaged CareMedical Necessity
Medical Director - Pediatric Otolaryngology- EviCore
Medical Director - Pediatric Otolaryngology- EviCore
19 day ago
Evernorth Health Services
- Remote: Ohio (USA)
- Full time
OtolaryngologyClinical AssessmentsEvidence-Based PracticeComputer SystemsUtilization ManagementMedical Necessity
Medical Field Case Manager
Medical Field Case Manager
29 day ago
Genex Services
- Remote: Colorado (USA)
- Full time
Care ManagementNursingWorkers' CompensationClinical PracticesAcute Care NursingUtilization Management
Intake Coordinator
Intake Coordinator
11 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 ManagementData EntryHealth Care IndustryTeleconferencingAdministrative Law
RN I
RN I
7 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Utilization ManagementNurse Licensure CompactClinical AssessmentsCare ManagementClient EducationOnline Communication
Telecommute Medical Review Stream Physician
Telecommute Medical Review Stream Physician
22 day ago
Concentra
- Remote: Texas (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Plastic SurgeryRehabilitationPhysical Medicine And Rehabilitation
Medical Director - Medical Oncology - eviCore - Remote
Medical Director - Medical Oncology - eviCore - Remote
9 day ago
Evernorth Health Services
- Remote: Ohio (USA)
- Full time
Evidence-Based PracticeClinical AssessmentsMedical OncologyCare ManagementMedical Licensing (Health Law)Utilization Management
Utilization Management Nurse
Utilization Management Nurse
11 day ago
Cambia Health Solutions
- Remote: Idaho (USA), Oregon (USA), Utah (USA), Washington (USA)
- Full time
Utilization ManagementChronic CareCare ManagementHealthcare Industry KnowledgeNurse Licensure CompactRetrospective Reviews
Career Opportunities: Help Desk Representative - Healthcare - Remote US (29667)
Career Opportunities: Help Desk Representative - Healthcare - Remote US (29667)
3 day ago
Gainwell Technologies LLC
- Remote: United States
- Full time
Problem ManagementIncident ManagementHealth Care IndustryOffice ManagementUtilization ManagementComputer Systems
Primary Therapist - Virtual - (East Coast - NY license)
Primary Therapist - Virtual - (East Coast - NY license)
18 day ago
Monte Nido & Affiliates
- Remote: New York (USA)
- Full time
Group TherapyFamily TherapyUtilization ManagementDischarge PlanningNutrition InterventionEmotional Disorders
Clinical Operations Manager (Internal Only)
Clinical Operations Manager (Internal Only)
4 day ago
NOCD
- Remote: United States
- Full time
Medical ManagementOrganisational PoliciesUtilization ManagementCerner EHRClinical AssessmentsTelehealth
Network Performance Advisor
Network Performance Advisor
20 day ago
Sunshine Health
- Remote: Florida (USA)
- Full time
Provider ModelPerformance Based ContractingNetwork AdministrationFinancial AnalysisUtilization ManagementQuality Assessment
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
22 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Managed CareMedical Necessity
Senior Sage X3 Finance Consultant (Remote) at NexTec Group
Senior Sage X3 Finance Consultant (Remote) at NexTec Group
30+ days ago
NexTec Group
- Remote: California (USA), Texas (USA), Washington (USA)
- Full time
Accounting SoftwareFinancial AdvisingERP Systems KnowledgeDev TestingUtilization ManagementSystem Configuration
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 ManagementClinical MedicineRegulatory ComplianceCare ManagementEducational AssessmentBasic Patient Care
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
9 day ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
Medical ManagementClinical AssessmentsUtilization ManagementMedical GuidelineCompliance ManagementInterQual Criteria
Physician Reviewer, Medical Managment
Physician Reviewer, Medical Managment
11 day ago
AltaMed Health Services
- Remote: California (USA)
- Full time
Authorization (Computing)Utilization ManagementMedical ManagementCase Management SystemsCare Coordination
Board Certified Medical Toxicology Physician Advisor, Disability Peer Review
Board Certified Medical Toxicology Physician Advisor, Disability Peer Review
4 day ago
Dane Street, LLC
- Remote: United States
- Freelance
ToxicologyMedical GuidelineMedical Record ManagementUtilization ManagementMedical Testing
