RemoteOtterRemoteOtterExplore 180 Remote Utilization Management Jobs
Cobalt Benefits Group
The Healthcare Utilization Specialist ensures clients receive the right care through effective claims processing and collaboration within the team.
Humata Health
Join Humata Health as a Clinical Nurse to leverage your expertise in healthcare and AI technology while managing utilization review processes.
Healthcare Management Administrators
The Medical Claims Review Nurse II analyzes claims to ensure accuracy and compliance with clinical standards.
H.A.H.
Humana At Home 1
The Chief Psychiatrist will oversee behavioral health services in Illinois, driving clinical management and policy development.
A.R
Aetna Resources
The Associate Manager will oversee Utilization Management staff in a fully remote role, ensuring high performance and compliance with healthcare standards.
H.A.H.
Humana At Home 1
Join our team as a Utilization Management Onsite Nurse, utilizing clinical skills to coordinate and document medical services.
Centene Management Company
Lead and manage behavioral health utilization review clinicians while ensuring compliance and improving healthcare services.
A.R
Aetna Resources
Join CVS Health as a Utilization Management Nurse Consultant, utilizing your RN experience to coordinate healthcare services in a telecommute role.
CorroHealth
CorroHealth
Join CorroClinical as a Remote Clinical Trainer to educate and support newly hired physicians and team members in their professional development.
Humana
Humana
The Medical Director oversees health claims and service authorizations while ensuring compliance with medical guidelines and regulations.
Medecision
Join Medecision as a Senior Project Manager to lead innovative healthcare projects and make a real difference.
H.A.H.
Humana At Home 1
The Utilization Management Nurse Lead is responsible for overseeing care coordination and compliance for Humana's dual eligible members.
Wellmark
Join Wellmark as a Utilization Management Nurse I, providing essential support and consultation in a remote setting.
C.R
Capital Rx
Seeking a licensed pharmacist to manage a team in clinical criteria and prior authorization system configurations.
Jobgether
Jobgether
The Physician Medical Director will oversee regional medical operations, driving quality improvement and clinical regulatory programs.