RemoteOtterRemoteOtterExplore 112 Remote Utilization Management Jobs
M.S
Morgan Stephens
Join a leading healthcare organization as a remote Behavioral Health Utilization Management Clinician to ensure quality care for behavioral health services.
M.S
Morgan Stephens
Seeking a Utilization Management Nurse with a focus on behavioral health to review service authorization requests.
Centene Management Company
Lead medical management and quality improvement as a Remote Behavioral Medical Director.
C.R
Capital Rx
The Manager, Medicare Utilization Management Pharmacist will oversee Medicare prior authorization processes and lead a team of pharmacists and technicians.
B.P.A
Banner Plan Admin
The RN Utilization Management Care Reviewer evaluates patient care and collaborates with medical teams to ensure optimal service delivery in a fully remote role.
H.A.H.
Humana At Home 1
The Utilization Management Nurse 2 coordinates medical services and discharges, requiring clinical nursing skills and independent decision-making.
Centene Management Company
Join Centene as a Remote Medical Director to lead medical management and quality improvement initiatives.
M.T.A
Molina Talent Acquisition
Molina Healthcare is seeking a Pharmacy Technician to manage pharmacy benefit programs and assist members with prescription needs.
HeiTech Services
Join HeiTech Services as a Telehealth Registered Nurse, providing clinical assessments and health education remotely.
M.T.A
Molina Talent Acquisition
The Manager, Healthcare Services oversees clinical teams to ensure quality care and compliance within Molina Healthcare.
H.A.H.
Humana At Home 1
The Manager, Utilization Management Behavioral Health oversees the coordination and management of behavioral health services while working remotely from Oklahoma.
Wellmark
Join Wellmark as a Utilization Management Nurse to provide essential support and services to members while working in a flexible remote environment.
RxSense
RxSense
The Clinical Consultant role involves providing strategic clinical guidance and managing pharmacy benefit operations for clients at RxSense.
Telligen
Join as a Peer Reviewer -1099 Consultant to evaluate medical necessity for Medicaid beneficiaries in mental health and substance abuse care.
Wellpartner
The Appeals Nurse Consultant at CVS Health processes Medicare appeals and requires clinical experience and RN licensure.