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Remote Utilization Management Jobs

8 fresh jobs found

Utilization Management Clinical Supervisor
Work From Home - AZ, United States

Virtual collaboration Clinical Review Microsoft Applications HCPCS CPT Leadership Development Microsoft Teams Performance monitoring Utilization management +25

USD 55K+

RN - Utilization Management
Work at Home - Florida, United States

Interpreting Criteria Health Plan Experience Clinical Nursing Medical Services Rehabilitation Acute care Consumer Experiences Registered Nurse Utilization management +42

USD 71K+

Associate Medical Director, Utilization Management
United States

Cohere Health Remote-first

Medical necessity documentation Managed Care Knowledge Evidence-Based Guidelines Peer-to-peer discussions Clinical Decision Making Software tools Clinical Review Medical necessity Clinical Intelligence +12

Senior Mid Full Time

USD 200K+

Utilization Management Nurse Consultant
Work At Home-Washington

Med/surg Coverage determination Long Term Care Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Telemetry +30

Senior Mid Full Time

USD 64K+

Physician Reviewer, Utilization Management
Remote

Medical necessity criteria Workflow Tools Evidence-Based Guidelines Clinical Review Clinical Acumen Technology Platform Utilization Review Clinical Practice Utilization management +11

Senior Full Time

USD 211K+

Behavior Health Utilization Management Care Coordinator (Remote)
Virginia Premier Health Plan Richmond

Transitions of care Cmhrs services Behavioral health care coordination Dmas protocols Arts services Bh services Managed care contracting Continuity of care Health Plan +16

USD 62K+

Remote Utilization Management (UM) Coordinator (Long-Term Temporary w/ Medical Benefits)
Remote-US, California, United States

Alignment Health

Referral systems Medicare managed care plans Managed Care Plans Medicare Managed Care CPT codes CPT coding ICD Bilingual (English ICD-10 +17

Entry Temporary

USD 40K+

Utilization Management Medical Director - Remote in US
Any city, KY, US, 99999

Gainwell Technologies

Interqual Guidelines Payment Integrity InterQual Utilization Review Claims Report Writing Managed Care Quality Control Billing +15

Exec Senior Full Time

USD 100K+

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