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Explore 215 Remote Utilization Management Jobs

A.R

Utilization Management Nurse Consultant - Remote

Aetna Resources

4 days ago

Join CVS Health as a Utilization Management Nurse Consultant, working from home to assess and coordinate healthcare services.

USA
Full-time
Health Care
$29.10 - $62.32/hour

WNR

Supervisor, Utilization Management - Remote

WNR

1 week ago

The Supervisor of Utilization Management will lead and support the clinical staff in managing utilization reviews and ensuring compliance with regulations.

USA
Full-time
All others
$97,510.40 - $141,804.00/year
Psychiatric Medical Care logo

Traveling RN Director of Behavioral Health Program - Remote

Psychiatric Medical Care

1 week ago

The Traveling RN Director of Behavioral Health Program leads a remote team, ensuring quality care and compliance while managing staff across multiple locations.

Worldwide
Full-time
Healthcare
100000USD/year

Highmark

Medical Director, Medical Policy - Remote

Highmark

1 week ago

The Medical Director, Medical Policy role focuses on overseeing the development and management of medical policies at Highmark Inc.

PA, USA
Full-time
All others
$170,000.00 - $352,500.00/year

M.S

Remote Admissions Coordinator – Long-Term Care & Rehabilitation (RN or LPN)

Morgan Stephens

4 weeks ago

Seeking a remote Admissions Coordinator (RN or LPN) to manage admissions for long-term care and rehabilitation.

KS, USA
Full-time
All others
$70,000 - $85,000/year
Centene Management Company logo

Remote Medical Director

Centene Management Company

6 weeks ago

The Remote Medical Director will lead medical management and quality improvement initiatives for a national healthcare organization.

USA
Full-time
All others
$231,900.00 - $440,500.00/year
UPMC logo

Medical Director, Utilization Management - Remote

UPMC

6 weeks ago

UPMC Health Plan is hiring a fully remote Medical Director for Utilization Management to oversee quality healthcare delivery.

USA
Full-time
All others

P.P.H.H

Care Manager RN - Peak Health - Remote

PHH Peak Health Holdings

8 weeks ago

The Care Manager RN is responsible for managing high-risk members and ensuring they receive appropriate resources and care.

USA
Full-time
Healthcare

O.H

Manager, Policy Optimization - Remote

Oscar Health

8 weeks ago

Join Oscar as a Manager, Policy Optimization to drive affordability goals through policy analysis and cross-functional collaboration.

USA
Full-time
All others
$131,200 - $172,200/year
HealthAxis Group logo

Medical Director, Utilization Management - Remote

HealthAxis Group

10 weeks ago

The Medical Director of Utilization Management oversees healthcare service utilization, ensuring quality and compliance while providing medical expertise.

USA
Full-time
All others

A.R

UM Nurse Consultant - Remote

Aetna Resources

10 weeks ago

The UM Nurse Consultant at CVS Health coordinates healthcare services for members, requiring clinical expertise and effective communication skills.

USA
Full-time
All others
$26.01 - $56.14/hour
HealthAxis Group logo

Part-Time Medical Director, Utilization Management - Remote

HealthAxis Group

10 weeks ago

The Part-Time Medical Director of Utilization Management will provide medical expertise and leadership to ensure quality healthcare delivery and regulatory compliance.

USA
Part-time
All others

The Care Manager RN role involves implementing utilization management strategies to improve healthcare delivery and member satisfaction.

USA
Full-time
Healthcare
$50,200 - $91,200/year
OSH-RI logo

Manager of Prior Authorization - Aetna Medicaid Texas - RN - Remote

OSH-RI

10 weeks ago

The Manager of Prior Authorization is responsible for overseeing the operations of the prior authorization team in a fully remote setting.

USA
Full-time
Healthcare
$87,035.00 - $187,460.00/year
Humata Health logo

Intake Solutions Specialist - Remote

Humata Health

10 weeks ago

Join Humata Health as an Intake Solutions Specialist to process prior authorization requests and provide exceptional customer service in a remote role.

USA
Full-time
Customer Service