Remote Leader, Utilization Management & Transitions of Care
Community Health Plan of Washington
- Remote job
Community Health Plan of Washington is looking for a Manager of Clinical Utilization Management & Transitions of Care. This role leads a team overseeing utilization management and transitions of care to support effective patient care. The ideal candidate will have a valid RN license, a bachelor’s degree, and at least three years of relevant management experience. The position includes remote working options, competitive salary, and comprehensive benefits such as medical and retirement plans. #J-18808-Ljbffr Community Health Plan of Washington
- ...lead level clinical support to healthcare services team supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral health, and other clinical programs, and collaborates...Remote workContract workWork at officeLocal area
$110 - $130 per hour
...A healthcare staffing company is seeking a Medical Director to lead utilization management and quality improvement for Medicare inpatient care. This remote role requires board-certified physicians with active medical licenses in FL and TX. Key responsibilities include...Remote work$167.5k - $293.1k
...projects in the Rail & Transit Market. When you... ...Department Leader, and as a senior member... ..., project management support in helping... ...grow and develop, utilizing the e3 process and... ...Jacobs Culture of caring throughout the Market... ...offices/projects and remote locations enabling...Remote workFull time- ...experience in healthcare. A hybrid work model is available, combining onsite days with remote work, offering a dynamic environment and comprehensive benefits package, including bonuses and professional development opportunities. #J-18808-Ljbffr Superior Dental Care, Inc.Remote work
- ...technology company in Raleigh, NC is seeking an experienced Utilities Business Development Manager to shape how utilities modernize and strengthen... ...an excellent opportunity to drive impact in the energy transition and navigate complex decision cycles. #J-18808-Ljbffr Hitachi...SuggestedContract work
$180k - $230k
...Culture Commercial Modality Leader Are you ready to... ...matter with people that care for each other, our customers... ...part of BP Commercial Management organization and will be fully remote. What you will do:... ...accurate forecasting and CRM utilization Build long-term...Remote workWork from homeFlexible hours- ...Dane Street, LLC is seeking a remote Physician Reviewer for full-time work from home. The role requires an MD or DO, board-certified in Internal or Family Medicine, to perform utilization reviews, including preauthorization and appeals. Ideal candidates will have prior...Remote workFull timeWork from home
- ...role supervises direct care and peer staff,... ...standards. The Team Lead utilizes a person-centered, trauma... ...coordination of care, transitions, and discharge planning... ...and incident management Identify trends, concerns... ...limited, pre-approved remote work permitted. Remote...Remote workShift work
- ...is looking for an experienced Registered Nurse in Peoria, Illinois. The role focuses on utilization review, clinical consultation, and effective patient support within a fully remote setting. Candidates should have an active Illinois RN license and significant...Remote workWork from home
$101.74k - $163.8k
Manager, Clinical Utilization Management & Transitions of Care Requisition Number: RNINP002821 Posted: April 28, 2026 Full‑Time Remote Salary range: $101,740 USD to $163,800 USD Remote workers Washington... ...across care settings. This leader partners closely with the...Remote workFull timeTemporary workPart timeWork experience placementWork at officeTrial periodFlexible hours$99.47k - $141.8k
...for-profit, we support patient care, research, teaching, and... ...supervisor will work closely with the Manager of Clinical, to oversee the... ...roughly 5 Medicare Advantage utilization management staff. The... ...Working Conditions Remote Type Remote Work Location...Remote workWork at officeFlexible hoursShift work$130k - $147.5k
...the senior clinical leader for psychiatric... ...quality direct patient care while advancing... ..., nursing, case management, and crisis services... ...this position is remote, the selected candidate... ...in peer review, utilization review, and... ...to strengthen care transitions. Maintain timely...Remote workWork at officeRelocationFlexible hoursAfternoon shift- ...Transition Coordinator Supervisor – Cuyahoga & Surrounding Counties... ...) Job Type: Full Time | Remote with Field Visits... ...Healthcare / Social Services / Case Management About the Opportunity at... ..., Inc. is a recognized leader in long-term care case management and population...Remote workFull timeWork at officeRelocation
- ...experts that genuinely care about helping people scale... ...digital marketing, PPC management, creative services, and... ...experienced PPC Pod Leader to join our team. In this... ...they are being utilized effectively Developing... ...flexible working hours Remote work year-round 4 weeks...Remote workFull timeImmediate startFlexible hours
- ...Department: Managed Services Please make sure you read the following details carefully before making any applications. This position... ...positions for this role. The Utilization Management (UM) RN performs utilization... ...This position is hybrid with remote and in-office assignment....Remote workWork at officeWork from homeRelocation package
- ...A leading healthcare organization is seeking a Per Diem Medical Director to oversee Utilization Management. The role involves collaborating with physicians, enhancing care quality, and developing policies within a managed care environment. Candidates should have at least...Remote workHourly payDaily paid
$99.47k - $141.8k
...As a not-for-profit, we support patient care, research, teaching, and community... ...Expertise in clinical inpatient and outpatient utilization management reviews utilizing InterQual®, company... ...Job Details Working Conditions Remote Type : Remote Work Location : 399 Revolution...Remote workWork at officeFlexible hoursShift work- Humana is offering a Utilization Management Behavioral Health Registered Nurse (RN) Internship for transitioning military service members and military spouses. This role involves... ...internship emphasizes support for the managed care industry, while providing essential...Remote workInternship
- ...experienced professional to join as a Utilization Manager. This role entails managing clinical reviews... ...3-5 years of experience in a managed care setting. This position offers a... ...opportunities for career advancement in a remote work environment. #J-18808-Ljbffr Mass...Remote job
- ...Resources is seeking a Vice President of Transitions to lead the transitions function for... ...leadership role that requires deep experience in managing complex multifamily transitions. The... ...in title and location, accommodating remote candidates while emphasizing on-site presence...Remote job
- ...healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This... ...a hybrid work environment and focuses on improving patient care and operational efficiency. Join us in making a difference in...Remote job
- ...Is it Hybrid, onsite or remote position - Remote Tentative... ...- 12 Years Domain - IS- Utilities Any certification required... ...• Participate in knowledge transition sessions • Exposure to delivering... ...reports for projects to management • Possess excellent written...Remote workContract workWork experience placement
$150k - $300k
Tetra Tech is seeking a Power and Utility Sales Leader for a remote/flexible position in the U.S. The role involves leading business development activities to win clients and projects in the power sector, focusing on solution selling and building relationships. Candidates...Remote jobFlexible hours- A healthcare management firm is seeking a Work From Home PharmD Utilization Management Pharmacist to evaluate clinical requests and ensure members receive appropriate care. Applicants should hold a PharmD degree and an active pharmacist license, with experience in U.S....Remote jobWork from home
- ...provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not... ...and is perfect for skilled nurses looking to transition into a new area. Responsibilities include reviewing...Remote jobFull timeWork at officeWork from home
- A healthcare company is seeking a Utilization Management Registered Nurse to utilize nursing skills for coordinating medical services. Responsibilities... ...include determining service eligibility and facilitating care. This remote role requires an RN license and clinical experience....Remote jobWork from home
- ...Resources has a potential need for Registered Nurse Utilization Managers (RNUM) . These will be completely remote positions, working entirely from the Nurse's home.... ...cases, educating patients on appropriate care and managing health care costs for the dependents...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- ...Director will engage with external physicians, ensure compliance with regulations, and support quality, coordination, and resource utilization. Ideal candidates will have an MD or DO degree, extensive clinical experience, and strong communication skills. A competitive...Remote job
- ...MDVIP: Transforming Primary Care, One Patient at a Time MDVIP is a national leader in personalized healthcare... ...leading approximately 12 transitions per year, including both remote and onsite support of... ...clean handoff to our Success Management team, enabling long‑term practice...Remote workContract workTemporary workWork at officeLocal area
$75k - $250k
...You Belong Here, Listen. Care. Follow Through., and... ...As an Education Market Leader, you play a critical role... ...vendor Successfully transition opportunities into the... ...alignment skills Experience managing a pipeline and tracking... ...Type: full Location: Remote - Dallas-Fort Worth...Remote workLocal area
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