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Explore 167 Remote Utilization Management Jobs

Wellmark logo

Utilization Management Nurse I - Remote

Wellmark

3 days ago

Join Wellmark as a Utilization Management Nurse I, providing essential support and consultation in a remote setting.

IA, USA
Full-time
Healthcare

C.R

Manager, Prior Authorization Systems Pharmacist - Remote

Capital Rx

5 days ago

Seeking a licensed pharmacist to manage a team in clinical criteria and prior authorization system configurations.

Worldwide
Full-time
All others
$135,000 - $145,000 USD/year

Jobgether

Physician Medical Director - Remote

Jobgether

6 days ago

The Physician Medical Director will oversee regional medical operations, driving quality improvement and clinical regulatory programs.

USA
Full-time
All others
Centene Management Company logo

Clinical Review Nurse - Concurrent Review - Remote

Centene Management Company

6 days ago

Join Centene as a Clinical Review Nurse to evaluate member health and care delivery while enjoying a flexible work environment.

USA
Full-time
All others
$26.50 - $47.59/hour
Wellpartner logo

Utilization Management Nurse Consultant - NICU/Spine (Remote)

Wellpartner

7 days ago

Join CVS Health as a Utilization Management Nurse Consultant focusing on NICU/Spine, working remotely to ensure quality patient care.

USA
Full-time
All others
$32.01 - $68.55/hour
Wellpartner logo

NICU Utilization Management Nurse Consultant - Remote

Wellpartner

7 days ago

The NICU Utilization Management Nurse Consultant is responsible for precertification services and clinical review while working remotely.

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

H.A.H.

Utilization Management Registered Nurse - Compact Required - Remote

Humana At Home 1

1 week ago

Join our team as a Utilization Management Registered Nurse, where you will utilize your nursing skills to coordinate and communicate medical services.

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

Utilization Management Specialist - Remote

SmarterDx

1 week ago

Join SmarterDx as a Utilization Management Specialist to optimize hospital resource use and enhance patient management through clinical AI.

USA
Full-time
All others
$115000 - $140000/year
Centene Management Company logo

Authorization Specialist II - Remote

Centene Management Company

2 weeks ago

Join Centene as an Authorization Specialist II, supporting the prior authorization request process in a flexible work environment.

Worldwide
Full-time
Customer Service
17.50 - 27.50/hour
Counsel Health logo

Physician, Utilization Management - Remote

Counsel Health

2 weeks ago

Join Counsel as a Physician in Utilization Management to work remotely on AI-assisted claims review.

USA
Contract
All others
120USD/hour
Dane Street logo

Licensed Physician Reviewer - Internal / Family Medicine - Remote

Dane Street

2 weeks ago

Dane Street is seeking licensed physicians for remote review work in Internal/Family Medicine.

USA
Contract
All others
Rightway logo

Pharmacy Customer Service Representative - Remote

Rightway

2 weeks ago

Join our team as a Pharmacy Customer Service Representative to assist members and providers with pharmacy benefit inquiries and ensure effective communication.

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

Prior Authorization Registered Nurse - Remote

Wellpartner

3 weeks 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
Magellan HRSC logo

Care Manager, Behavioral Health - Remote PA

Magellan HRSC

3 weeks 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

Utilization Management Nurse Consultant - Remote

Wellpartner

3 weeks 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