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Remote Utilization Management Jobs

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10 fresh jobs found
Utilization Management Nurse
Lewiston, ID, United States Cambia Health Solutions logo Cambia Health Solutions
Disease Management DO Clinical Care Utilization management Quality improvement Clinical expertise Care management Auditing Nursing +16
Mid Full Time
USD 83K+
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Behavioral Health Utilization Management Clinician I - MHP or SUDP
Spokane, Washington, United States; Seattle, Washington, United States Community Health Plan of Washington logo Community Health Plan of Washington
Workflow systems Clinical Guidelines Discharge planning Community Health Clinical Experience Utilization Review Patient advocacy Utilization management Care Coordination +11
Mid Full Time
USD 73K+
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Board Certified Behavior Analyst (BCBA)/Behavioral Health Utilization Management- Remote in VA!
Virginia Remote, United States Sentara Health logo Sentara Health
Behavioral health services Managed care contracting Coordinate Autism spectrum disorder Health Plan Experience Clinical protocols Compliance requirements Clinical Judgment Mental health services +27
Entry Mid Full Time
USD 101K+
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Supervisor, Behavioral Health Utilization Management
Remote-AZ, United States Centene Corporation logo Centene Corporation
UM Accreditation Standards Compliance monitoring Utilization Guidelines Medical necessity Clinical Supervision Performance Evaluation Medical management +31
Mid Full Time
USD 73K+
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Behavioral Health Care Coordinator (Utilization Management)
Richardson Texas HQ (1001 E. Lookout Drive), United States Health Care Service Corporation logo Health Care Service Corporation
Database Experience Contract Interpretation Clinical Review Medical necessity PC Utilization Review Registered Nurse Clinical Experience Utilization management +14
Mid Full Time
USD 60K+
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Utilization Management Coordinator (Remote)
Madison, WI, United States LEARN Behavioral logo LEARN Behavioral
Central Reach Insurance Verification Behavioral healthcare Utilization management Client Relations Data Entry
Entry Mid Full Time
USD 40K+
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Utilization Management Behavioral Health Professional
Remote US, United States Humana logo Humana
Interpreting Criteria Microsoft Office Word Social service agencies Health promotion Medical Services LESS Registered Nurse Community Health Utilization Review +51
Mid Full Time
USD 65K+
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Medical Director Utilization Management Oncology: Remote
Cerritos, California, United States The Oncology Institute of Hope and Innovation logo The Oncology Institute of Hope and Innovation
Clinical Decision Making Evidence-based practices Utilization management Oncology Analytical Communication
Exec Senior Full Time
USD 275K+
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Utilization Management Director (CCM)
Remote Included Health logo Included Health
Member Experience Manual Dexterity In-person care Specialty care Urgent care Strategic vision Virtual care Primary Care Utilization management +22
Exec Senior Full Time
USD 118K+
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Director-Utilization Management
Carlsbad, California, United States Acadia Healthcare logo Acadia Healthcare
Staff management Clinical Review Clinical Experience Utilization management Performance Management Patient care Regulatory Compliance Collaboration Communication
Exec Senior Full Time
USD 83K+
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