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164 remote Utilization Management jobs

164 open remote Utilization Management roles from top companies and boards — updated hourly.

Authorization Management Clinical Reviewertoday

WellSky·United States

clinical-reviewerutilization-managementprior-authorization-specialistrn-case-managerhealthcare-administrationprior-authorization-reviewer

Pharmacy Technician (Seasonal)today

SmithRx·United States·USD 22 / hourly

pharmacy-technicianprior-authorization-specialistprior-authorizationsutilization-managementhealthcare-coordinator

Appeals Resolution Analyst9d ago

Horizon Blue Cross Blue Shield of New Jersey·United States·USD 44,600 - 59,745 / annual

appeals-resolutionhealthcare-administrationmedical-claims-processingutilization-managementhealthcare-complianceappeals-analyst

Medicaid Claims Administration Coordinator (UM, UR, PA)9d ago

Humana·United States·USD 40,000 - 52,300 / annual

medicaid-claims-administrationutilization-managementprior-authorization-specialisthealthcare-administrationmanaged-care-coordinatormedical-claims-coordinator

Behavioral Health Service Mgr10d ago

Centene Corporation·United States·USD 27.02 - 48.55 / hourly

behavioral-health-managercase-managementutilization-managementmedicaid-care-managementfoster-care-servicesmental-health-services-manager

Board Certified Physician Reviewers - Hematology - MN License10d ago

Dane Street·United States

medical-reviewhealthcare-consultingutilization-managementclinical-reviewinsurancemedical-reviewer-for-hematology

Care Manager, BH - Remote PA10d ago

Magellan Health·United States·USD 64,285 - 102,855 / annual

care-managerbehavioral-healthcare-coordinationutilization-managementcase-managementremote-care-manager

Medical Director-Payment Integrity10d ago

Humana·United States·USD 223,800 - 313,100 / annual

medical-directorutilization-managementhealthcare-administrationpayment-integrityclinical-reviewhealthcare-compliance

Part-Time Tele-RN Case Manager | Multi-State10d ago

Beam Healthcare·United States

remote-nurse-case-managertelephonic-nurse-case-managercase-manager-(rn)case-management-rncase-managertele-rn-case-manager

Physician Advisor - Remote10d ago

Med-Metrix·United States

physician-advisorutilization-managementhealthcare-compliancecase-managementquality-assurancephysician-medical-advisor

Physician, Inpatient Denials Management (FT/M-F/REMOTE)10d ago

CorroHealth·United States·USD 225,000 / annual

physician-advisormedical-directorutilization-managementdenials-managementinpatient-careclinical-denials-specialist

Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)10d ago

CNSI·United States·USD 70.97 - 125 / hourly

psychiatristphysicianmedical-reviewutilization-managementclinical-reviewphysician-reviewer

RN Utilization Management - Off Shift10d ago

Arkansas Blue Cross·United States

utilization-management-nursern-utilization-managementutilization-review-nurseclinical-review-specialisthealthcare-utilization-managementutilization-management-rn

Utilization Management Manager10d ago

Humana·United States·USD 94,900 - 130,500 / annual

utilization-managementnursing-leadershipmedical-managementhealthcare-administrationutilization-management-managerutilization-manager

Pharmacy Technician (Seasonal)11d ago

SmithRx·United States·USD 22 / hourly

pharmacy-technicianprior-authorizationsutilization-managementpharmacy-benefit-managementhealthcare-technologypharmacy-technician-(entry-level)

Care Manager, BH - Remote PA12d ago

Magellan Health·United States·USD 64,285 - 102,855 / annual

care-managementbehavioral-healthmental-healthcase-managementutilization-managementremote-care-manager

Clinical Review Nurse - Concurrent Review12d ago

Centene Corporation·Italy·USD 27.02 - 48.55 / hourly

concurrent-review-nursingutilization-managementclinical-review-nursehealthcare-nursingmedicaid-nurseclinical-review-nurse-concurrent-review

Lead Utilization Review - RN12d ago

Personify Health·United States·USD 38 - 44 / hourly

utilization-managementclinical-reviewcare-managementrn-leadershiphealthcare-administrationutilization-review-rn

Medical Director - Inpatient Review12d ago

Humana·United States·USD 223,800 - 313,100 / annual

medical-directorutilization-managementinpatient-reviewutilization-reviewhealth-claims-analysisphysician-advisor

Medical Director – Medical Oncology – Evicore - Remote12d ago

The Cigna Group·United States·USD 207,800 - 346,300 / annual

medical-directormedical-oncologyutilization-managementphysician-advisorhealthcare-consultingphysician-medical-director-remote

Outcomes Manager - UR - FT12d ago

Virtua Health·United Kingdom·USD 79,719 - 123,934 / annual

utilization-managementcase-managementoutcomes-managementur-managerclinical-documentation-managementoutcomes-manager

Physical Medicine and Rehabilitation Medical Director12d ago

Palmetto GBA·United States·USD 206,011 - 413,523 / annual

medical-directorhealthcare-administrationphysical-medicine-and-rehabilitationutilization-managementhealth-insurancemedical-policy

Utilization Review Nurse - RN12d ago

Personify Health·United States·USD 30 - 40 / hourly

utilization-review-nurseutilization-managementcare-managementclinical-reviewrn-utilization-reviewutilization-review-rn

Clinician Specialist13d ago

Centene Corporation·United States·USD 70,100 - 126,200 / annual

clinical-operationsutilization-managementhealthcare-administrationcase-managementclinical-documentation-specialistclinical-specialist

Manager, Clinical Review and Quality Assurance13d ago

SmithRx·United States·USD 136,000 - 192,000 / annual

utilization-managementclinical-reviewquality-assurancepharmacy-benefit-managementclinical-operationsclinical-quality-assurance-manager

Medical Policy Review Nurse13d ago

General Dynamics Information Technology·United States·USD 85,093 - 115,000 / annual

medical-policyhealthcare-nursingmedical-codingutilization-managementclinical-documentation-reviewmedical-review-nurse

Nurse Team Lead - Clin Rev13d ago

WNS Global Services·United States·USD 74,880 - 85,280 / annual

nursing-team-leadclinical-review-nursingutilization-managementhealthcare-operations-leadershipnursing-managementclinical-team-lead

UM Administration Coordinator13d ago

Humana·United Arab Emirates·USD 39,000 - 49,400 / annual

um-coordinatorhealthcare-administrationutilization-managementprior-authorization-specialisthealthcare-operationsum-administration

UM Administrative Coordinator13d ago

Humana·United States·USD 40,000 - 52,300 / annual

utilization-managementhealthcare-administrationadministrative-coordinatormedicaid-administrationmember-servicesum-coordinator

Utilization Management Behavioral Health Professional13d ago

Humana·United States·USD 65,000 - 88,600 / annual

utilization-managementbehavioral-healthclinical-documentation-specialistmental-health-servicesbehavioral-health-utilization-managementbehavioral-health-utilization-reviewer

Utilization Management Coordinator13d ago

Integra Partners·United States·USD 19 / hourly

utilization-managementhealthcare-administrationauthorization-coordinatormedical-billinghealthcare-supportutilization-management-coordinator

Utilization Review Nurse13d ago

Oscar·United States·USD 35 - 45.94 / hourly

utilization-review-nursingmanaged-care-nursingutilization-managementcase-management-nursingclinicalutilization-review-nurse

Manager, Utilization Review Nursing14d ago

Central Health·United States

utilization-review-nursingutilization-managementnursing-managementhealth-plan-operationsutilization-review-manager

Medical Director - Radiation Oncology - MD or DO14d ago

Lifelancer·United States·USD 174,070 - 374,920 / annual

medical-directorradiation-oncologyutilization-managementhealthcare-administrationphysician-advisormedical-director-oncology

Utilization Management Nurse - LPN/LVN14d ago

Integra Partners·United States·USD 60,000 - 60,001 / annual

utilization-managementlpnlvn-nursehealthcare-nursingmanaged-care-nursinglvn-utilization-management

Board Certified Physician Reviewers - Endocrinology - MN license15d ago

Dane Street·United States

insurancephysician-advisorutilization-managementmedical-directorendocrinologymedical-review

Senior Utilization Management Assistant - Utilization Management (Per Diem Day)15d ago

Providence·United States

utilization-managementcare-managementhealthcare-administrationmedical-assistanthealth-information-managementutilization-management-specialist

Care Manager RN (Per Diem Day)16d ago

Providence·United States

care-managementcase-managementregistered-nursingclinical-appeals-specialistutilization-managementrn-care-manager

Care Manager RN - Utilization Management (Full time Day)16d ago

Providence·United States

care-managementutilization-managementrn-case-managerregistered-nursingrn-care-managerutilization-management-rn

Complex Discharge Planner16d ago

Centene Corporation·Azerbaijan·USD 27.02 - 48.55 / hourly

discharge-planningcase-management-nursingtelephonic-nursingutilization-managementdischarge-plannerclinical-discharge-coordinator

Managed Care Coordinator II (Bilingual - Spanish)16d ago

Horizon Blue Cross Blue Shield of New Jersey·United States·USD 50,100 - 67,095 / annual

managed-care-coordinatorcase-managementutilization-managementhealth-insurance-operationsbilingual-care-coordinatorbilingual-healthcare-coordinator

Remote Medical Director, Appeals16d ago

Centene Corporation·Macao·USD 236,500 - 449,300 / annual

medical-directorhealthcare-appealsutilization-managementquality-improvementhealthcare-administrationremote-medical-director

Remote National Medical Director16d ago

Centene Corporation·Macao·USD 236,500 - 449,300 / annual

medical-directorphysician-leadershipquality-improvementutilization-managementremote-medical-directorphysician-medical-director-remote

Utilization Review RN16d ago

Providence·United States

utilization-review-rnutilization-managementclinical-reviewcase-managementhealth-information-managementrn-utilization-review

Utilization Review RN - Utilization Management FT16d ago

Providence·United States

utilization-review-nursingutilization-managementcase-managementclinical-reviewhealthcare-administrationutilization-review-rn

Care Manager I - LPN (Maryland)17d ago

Astrana Health·United States·USD 31 - 40 / hourly

case-managementcare-managementutilization-managementlicensed-practical-nursehealth-serviceslpn-care-coordinator

Clinical Claims Reviewer/ RN17d ago

Sentara Health·United States·USD 93,350.4 - 132,433.6 / annual

clinical-claims-reviewutilization-managementregistered-nursehealth-insurance-claimsrn-medical-reviewclaims-review-nurse

Director Product Management - Utilization Management17d ago

Highmark Health·United States·USD 142,000 - 236,000 / annual

product-managementhealthcare-product-managementutilization-managementdirector-product-managementhealthcare-administrationutilization-management-director

Field Medical Director, Cardiology17d ago

Evolent·United States·USD 120 - 135 / hourly

medical-directorcardiologyutilization-managementphysician-advisormanaged-carefield-medical-director

RN Medical Management17d ago

Banner Health·United States·USD 35.43 - 59.05 / hourly

prior-authorizationsutilization-managementcase-managementmedical-managementregistered-nurseclinical-care

Remote utilization management jobs: what to know

RemoShift tracks 164 live remote Utilization Management roles across 6 different employers, refreshed every 30 minutes. The roles on this page come from Himalayas and include openings at Centene Corporation, Humana, The Cigna Group — click through to the original posting to apply.

The jobs tagged utilization management are open to candidates in the USA, MO, AZ. Each listing notes the location, salary (where disclosed) and remote setup, so you can filter by what suits you. We list only roles that link to a live original posting — no dead applications.

Live roles

164 remote utilization management jobs

Top employers

Centene Corporation, Humana, The Cigna Group

Common locations

the USA, MO, AZ

Data sources

Himalayas

Frequently asked questions

How many remote utilization management jobs are there right now?

There are 164 live remote utilization management roles on RemoShift as of today. The count updates every 30 minutes as we re-pull company boards and partner feeds.

Can I work remotely in a utilization management role from anywhere?

Many utilization management roles are fully remote and open to candidates in the USA, MO, AZ. Some are remote-within-a-region or require timezone overlap with the employer's team — each original posting states the exact arrangement. Use the Work-from-anywhere filter to narrow to truly location-independent roles.

Which companies hire remote utilization management staff?

Current remote utilization management openings include roles at Centene Corporation, Humana, The Cigna Group, SmithRx, Providence and other employers. The list changes constantly as new roles are posted — browse the page above for the live set.

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