RemoteOtterRemoteOtterExplore 222 Remote Utilization Management Jobs
Centene Management Company
Seeking a Remote Medical Director to lead medical management and quality improvement initiatives for a diverse population.
Soleo Health
Soleo Health is looking for a Prior Authorization Pharmacist to manage prior authorization requests for specialty pharmacy, working remotely.
Zing Health
The Intake Coordinator provides support to the Health Services Department, managing authorization requests, case management referrals, and appeals.
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Logan Health Medical Center
Join Logan Health as a fully remote Utilization Management Specialist, leveraging your clinical expertise to enhance patient outcomes and resource management.
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Quantile Health
Join Quantile Health as a part-time Prior Authorization Specialist focused on improving patient access and AI model accuracy in a fully remote setting.
Guidehealth
Guidehealth is looking for a part-time Medical Director in Psychiatry to oversee utilization management activities for a commercial health plan.
Centene Management Company
Join our team as a Remote Inpatient Medical Director, leading medical management and quality improvement efforts for a major healthcare organization.
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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.
Psychiatric Medical Care
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.
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Morgan Stephens
Seeking a remote Admissions Coordinator (RN or LPN) to manage admissions for long-term care and rehabilitation.
Centene Management Company
The Remote Medical Director will lead medical management and quality improvement initiatives for a national healthcare organization.
UPMC
UPMC Health Plan is hiring a fully remote Medical Director for Utilization Management to oversee quality healthcare delivery.
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PHH Peak Health Holdings
The Care Manager RN is responsible for managing high-risk members and ensuring they receive appropriate resources and care.