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Explore 155 Remote Utilization Management Jobs

Magellan HRSC logo

Care Manager, Behavioral Health - Remote PA

Magellan HRSC

5 days ago

Seeking a licensed Care Manager for a remote position to oversee mental health and substance abuse services.

USA
Full-time
All others
$58,440 - $93,500/year
Wellpartner logo

Prior Authorization Registered Nurse - Remote

Wellpartner

5 days ago

Join CVS Health as a fully remote Prior Authorization Registered Nurse, utilizing clinical expertise to coordinate healthcare services for members.

OK, USA
Full-time
All others
$26.01 - $56.14/hour
Wellpartner logo

Utilization Management Nurse Consultant - Remote

Wellpartner

6 days ago

Join CVS Health as a remote Utilization Management Nurse Consultant to facilitate healthcare services and benefits for members.

USA
Full-time
All others
$29.10 - $62.32/hour
Wellpartner logo

Utilization Management Nurse Consultant - Concurrent Review - Remote

Wellpartner

6 days ago

The Utilization Management Nurse Consultant position involves remote work coordinating patient care and ensuring proper utilization of healthcare services.

USA
Full-time
All others
$32.01 - $68.55/hour
Medical Review Institute of America logo

Case Completion Coordinator - Remote

Medical Review Institute of America

7 days ago

The Case Completion Coordinator is responsible for managing the review process and ensuring compliance while serving as a liaison with clients and reviewers.

Worldwide
Full-time
Customer Service

M.E

Utilization Management Specialist Nurse - Remote

MHS Employees

1 week ago

The Utilization Management Specialist Nurse oversees utilization management activities to ensure compliance and optimal patient care in a healthcare setting.

USA
Full-time
All others
$101,650.00 - $180,731.00 USD/year

C.C.A.F.H

Temporary Medical Director (Part-Time) - Remote

Central California Alliance for Health

1 week ago

Seeking a part-time Temporary Medical Director to provide clinical oversight and leadership in a remote capacity.

California, USA
Part-time
All others
$165 - $185 USD/hour

C.R

Manager, Prior Authorization Oversight - Remote

Capital Rx

1 week ago

The Manager of Prior Authorization Oversight ensures compliance with regulatory standards in prior authorization and appeals operations.

Worldwide
Full-time
Finance / Legal
$145,000 - $155,000 USD/year

O.C.F

RN Utilization Manager - Remote

Ochsner Clinic Foundation

1 week ago

The RN Utilization Manager will oversee patient care processes, ensuring compliance with medical necessity criteria and effective communication with healthcare teams.

USA
Full-time
All others
OSH-RI logo

Utilization Management Nurse Consultant - Remote

OSH-RI

1 week ago

The Utilization Management Nurse Consultant at CVS Health is responsible for coordinating healthcare services and ensuring appropriate benefit utilization through clinical expertise.

USA
Full-time
Healthcare
$29.10 - $62.32/hour
OSH-RI logo

Medical Director - Heartland - Remote

OSH-RI

1 week ago

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.

USA
Full-time
All others
$174,070 - $374,920/year

Humana

Director of Physician Leadership - Remote

Humana

1 week ago

Lead Humana's Physician Leadership team to enhance healthcare outcomes for Medicare members.

USA
Full-time
Healthcare
$298,000 - $409,800/year
Wellpartner logo

Remote Case Manager Registered Nurse

Wellpartner

1 week ago

Join CVS Health as a Remote Case Manager (RN) focusing on delivering high-quality healthcare services in Hudson County.

USA
Full-time
All others
$72,627.00 - $155,538.00/year

M.S

Physical Therapist Utilization Management - Remote

Morgan Stephens

1 week ago

Join our Managed Care Organization as a Physical Therapist in Utilization Management, working remotely and earning up to $72 per hour.

CA, USA
Part-time
All others
$72/hour

H.A.H.

Pre-Authorization Registered Nurse - Remote

Humana At Home 1

2 weeks ago

Humana is seeking a Pre-Authorization Registered Nurse to review and approve prior authorization requests while working remotely from Oklahoma.

OK, USA
Full-time
All others
$71,100 - $97,800/year