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Explore 138 Remote Utilization Management Jobs

Centene Management Company logo

Supervisor, Appeals - Remote

Centene Management Company

3 days ago

Lead a clinical team as a Supervisor in Appeals at Centene, ensuring quality care for members while working remotely.

USA
Full-time
All others
$73,800.00 - $132,700.00/year
Centene Management Company logo

Clinical Review Nurse - Correspondence - Remote

Centene Management Company

4 days ago

The Clinical Review Nurse will draft correspondence letters based on clinical review outcomes and ensure compliance with NCQA standards.

USA
Full-time
All others
26.50 - 47.59/hour
Centene Management Company logo

Vice President, Medical Director - Remote

Centene Management Company

4 days ago

Centene is seeking a Vice President, Medical Director to provide strategic and operational leadership in utilization management and clinical policies.

USA
Full-time
All others
301400 - 572700/year
Centene Management Company logo

Remote Medical Director

Centene Management Company

4 days ago

Join our team as a Remote Medical Director to lead medical management and quality improvement initiatives for our members.

USA
Full-time
All others
$221,300.00 - $420,500.00/year
Centene Management Company logo

Clinical Review Clinician - Appeals - Remote

Centene Management Company

5 days ago

Join Centene as a Clinical Review Clinician to perform essential clinical reviews for appeals processing.

USA
Full-time
Healthcare
26.50 - 47.59 USD/hour
Centene Management Company logo

Senior Clinical Review Nurse - Correspondence - Remote

Centene Management Company

5 days ago

Join our team as a Senior Clinical Review Nurse, where you will draft correspondence and conduct clinical reviews to ensure compliance with healthcare standards.

USA
Full-time
All others
30.00 - 54.03/hour
Centene Management Company logo

Remote Market Place Medical Director

Centene Management Company

6 days ago

Join Centene as a Remote Market Place Medical Director to lead medical management and quality improvement for a diverse member base.

Worldwide
Full-time
All others
$231,900.00 - $440,500.00/year

H.A.H.

Pre-Authorization Nurse 2 - Remote

Humana At Home 1

6 days ago

The Pre-Authorization Nurse 2 reviews prior authorization requests and utilizes clinical judgment to ensure appropriate care.

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

Staff Vice President, Utilization Management - Remote

Centene Management Company

7 days ago

The Staff Vice President of Utilization Management will lead and innovate healthcare utilization programs to enhance efficiency and compliance across the organization.

USA
Full-time
All others
182100 - 345600/year
OSH-RI logo

Utilization Management Nurse Consultant - Remote

OSH-RI

1 week ago

Join CVS Health as a Utilization Management Nurse Consultant, providing essential healthcare service coordination in a remote role.

USA
Full-time
All others
$32.01 - $68.55/hour
Centene Management Company logo

Clinical Review Nurse - Concurrent Review - Remote

Centene Management Company

1 week ago

Join our Medical Management team as a Clinical Review Nurse, focusing on concurrent reviews and ensuring quality patient care.

USA
Full-time
All others
26.50 - 47.59/hour
Rightway logo

Pharmacy Customer Service Representative - Remote

Rightway

1 week ago

Join Rightway as a Pharmacy Customer Service Representative to assist members and providers with pharmacy benefit inquiries and enhance the healthcare experience.

Worldwide
Full-time
Customer Service
$21 - $22/hour

S.H.M

Senior Analyst, Healthcare Analytics - Remote

Summit Health Management

1 week ago

Join VillageMD as a Senior Analyst in Healthcare Analytics to enhance reporting and analytics capabilities in a mission-driven organization.

USA
Full-time
Data Analysis
$76,800 - $99,300/year

H.A.H.

Telephonic Nurse Case Manager - Remote

Humana At Home 1

2 weeks ago

Join our caring community as a Telephonic Nurse Case Manager, coordinating care for TRICARE beneficiaries.

USA
Full-time
Customer Service
$71,100 - $97,800/year
Wellpartner logo

Utilization Management Nurse Consultant - Remote

Wellpartner

2 weeks ago

Join CVS Health as a fully remote Utilization Management Nurse Consultant, leveraging clinical skills to manage healthcare services.

USA
Full-time
Healthcare
$26.01 - $74.78/hour