Explore 215 Remote Utilization Management Jobs
A.R
Aetna Resources
Join CVS Health as a Utilization Management Nurse Consultant, working from home to assess and coordinate healthcare services.
WNR
WNR
The Supervisor of Utilization Management will lead and support the clinical staff in managing utilization reviews and ensuring compliance with regulations.
The Traveling RN Director of Behavioral Health Program leads a remote team, ensuring quality care and compliance while managing staff across multiple locations.
Highmark
Highmark
The Medical Director, Medical Policy role focuses on overseeing the development and management of medical policies at Highmark Inc.
M.S
Morgan Stephens
Seeking a remote Admissions Coordinator (RN or LPN) to manage admissions for long-term care and rehabilitation.
The Remote Medical Director will lead medical management and quality improvement initiatives for a national healthcare organization.
UPMC Health Plan is hiring a fully remote Medical Director for Utilization Management to oversee quality healthcare delivery.
P.P.H.H
PHH Peak Health Holdings
The Care Manager RN is responsible for managing high-risk members and ensuring they receive appropriate resources and care.
O.H
Oscar Health
Join Oscar as a Manager, Policy Optimization to drive affordability goals through policy analysis and cross-functional collaboration.
The Medical Director of Utilization Management oversees healthcare service utilization, ensuring quality and compliance while providing medical expertise.
A.R
Aetna Resources
The UM Nurse Consultant at CVS Health coordinates healthcare services for members, requiring clinical expertise and effective communication skills.
The Part-Time Medical Director of Utilization Management will provide medical expertise and leadership to ensure quality healthcare delivery and regulatory compliance.
Highmark
Highmark
The Care Manager RN role involves implementing utilization management strategies to improve healthcare delivery and member satisfaction.
The Manager of Prior Authorization is responsible for overseeing the operations of the prior authorization team in a fully remote setting.
Join Humata Health as an Intake Solutions Specialist to process prior authorization requests and provide exceptional customer service in a remote role.