RemoteOtterRemoteOtterExplore 155 Remote Utilization Management Jobs
Magellan HRSC
Seeking a licensed Care Manager for a remote position to oversee mental health and substance abuse services.
Wellpartner
Join CVS Health as a fully remote Prior Authorization Registered Nurse, utilizing clinical expertise to coordinate healthcare services for members.
Wellpartner
Join CVS Health as a remote Utilization Management Nurse Consultant to facilitate healthcare services and benefits for members.
Wellpartner
The Utilization Management Nurse Consultant position involves remote work coordinating patient care and ensuring proper utilization of healthcare services.
Medical Review Institute of America
The Case Completion Coordinator is responsible for managing the review process and ensuring compliance while serving as a liaison with clients and reviewers.
M.E
MHS Employees
The Utilization Management Specialist Nurse oversees utilization management activities to ensure compliance and optimal patient care in a healthcare setting.
C.C.A.F.H
Central California Alliance for Health
Seeking a part-time Temporary Medical Director to provide clinical oversight and leadership in a remote capacity.
C.R
Capital Rx
The Manager of Prior Authorization Oversight ensures compliance with regulatory standards in prior authorization and appeals operations.
O.C.F
Ochsner Clinic Foundation
The RN Utilization Manager will oversee patient care processes, ensuring compliance with medical necessity criteria and effective communication with healthcare teams.
OSH-RI
The Utilization Management Nurse Consultant at CVS Health is responsible for coordinating healthcare services and ensuring appropriate benefit utilization through clinical expertise.
OSH-RI
The Medical Director at CVS Health oversees medical policies and clinical programs in a remote role, requiring a medical license and significant experience in health care delivery.
Humana
Humana
Lead Humana's Physician Leadership team to enhance healthcare outcomes for Medicare members.
Wellpartner
Join CVS Health as a Remote Case Manager (RN) focusing on delivering high-quality healthcare services in Hudson County.
M.S
Morgan Stephens
Join our Managed Care Organization as a Physical Therapist in Utilization Management, working remotely and earning up to $72 per hour.
H.A.H.
Humana At Home 1
Humana is seeking a Pre-Authorization Registered Nurse to review and approve prior authorization requests while working remotely from Oklahoma.