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Explore 186 Remote Utilization Management Jobs

Humata Health logo

Utilization Management Registered Nurse - Payer Operations - Remote

Humata Health

2 days ago

Join Humata Health as a Clinical Nurse to enhance AI-driven healthcare solutions in a remote role.

USA
Full-time
All others

Go365

Utilization Management Behavioral Health Professional - Remote

Go365

2 days ago

Join Humana as a Utilization Management Behavioral Health Professional to support optimal care coordination and treatment.

KY, USA
Full-time
All others
$65,000 - $88,600/year

C.M.H.W

RN Case Manager - Emergency Department - Remote

CO043 Memorial Hospital West

3 days ago

Join our team as an RN Case Manager in the Emergency Department, focusing on patient care and discharge planning.

USA
Full-time
All others
Cohere Health logo

Weekend RN Supervisor, Clinical Operations - Remote

Cohere Health

6 days ago

Cohere Health is seeking a Weekend RN Supervisor to lead the RN Reviewer team, ensuring performance and quality standards in a fully remote setting.

USA
Full-time
All others
$80,000 - $90,000/year
Cohere Health logo

RN Supervisor, Clinical Operations - Remote

Cohere Health

6 days ago

The RN Supervisor, Clinical Operations is responsible for leading the RN Reviewer team, ensuring performance metrics are met while providing operational guidance and support.

USA
Full-time
All others
$75,000 - $85,000/year

Go365

Associate Director, Health Services - Remote

Go365

1 week ago

The Associate Director, Health Services is a strategic leader focusing on utilization management and care coordination to enhance member health outcomes.

SC, USA
Full-time
All others
$104,000 - $143,000/year
Cobalt Benefits Group logo

Healthcare Utilization Specialist - Remote

Cobalt Benefits Group

1 week ago

The Healthcare Utilization Specialist ensures clients receive the right care through effective claims processing and collaboration within the team.

USA
Full-time
All others
22.00 - 24.00/hour
Humata Health logo

Registered Nurse, Utilization Management - Remote

Humata Health

1 week ago

Join Humata Health as a Clinical Nurse to leverage your expertise in healthcare and AI technology while managing utilization review processes.

USA
Full-time
Healthcare
Healthcare Management Administrators logo

Medical Claims Review Nurse II - Remote

Healthcare Management Administrators

2 weeks ago

The Medical Claims Review Nurse II analyzes claims to ensure accuracy and compliance with clinical standards.

WA, USA
Full-time
All others

A.R

Associate Manager, Clinical Health Services – Utilization Management - Remote

Aetna Resources

2 weeks ago

The Associate Manager will oversee Utilization Management staff in a fully remote role, ensuring high performance and compliance with healthcare standards.

USA
Full-time
Health Services
$72,306.00 - $155,736.00/year

Go365

Chief Psychiatrist - Behavioral Health Medical Director - Remote

Go365

2 weeks ago

The Chief Psychiatrist will oversee behavioral health services in Illinois, driving clinical management and policy development.

IL, USA
Full-time
Healthcare
$223,800 - $313,100/year

Go365

Utilization Management Onsite Nurse - Remote

Go365

2 weeks ago

Join our team as a Utilization Management Onsite Nurse, utilizing clinical skills to coordinate and document medical services.

KY, USA
Full-time
Healthcare
$71,100 - $97,800/year
Centene Management Company logo

Manager, Behavioral Health Utilization Management - ABA - Remote

Centene Management Company

2 weeks ago

Lead and manage behavioral health utilization review clinicians while ensuring compliance and improving healthcare services.

USA
Full-time
All others
$85,300.00 - $158,100.00/year

CorroHealth

Remote Clinical Trainer

CorroHealth

3 weeks ago

Join CorroClinical as a Remote Clinical Trainer to educate and support newly hired physicians and team members in their professional development.

USA
Full-time
All others

A.R

Utilization Management Nurse Consultant - Remote

Aetna Resources

3 weeks ago

Join CVS Health as a Utilization Management Nurse Consultant, utilizing your RN experience to coordinate healthcare services in a telecommute role.

USA
Full-time
All others
$32.01 - $68.55/hour