Remote Utilization Management Assistant
New paradigm staffing
- Remote job
We’re looking for an organized and dependable Utilization Management Assistant to join New Paradigm Staffing, helping clinical and insurance teams manage medical necessity reviews. This role is perfect for someone who wants exposure to the clinical-review side of healthcare without needing a clinical license. You’ll support the UM team by preparing case files, gathering documentation, and assisting with review coordination across payer systems. What You’ll Do Prepare UM case files and documentation packets Check requests for completeness Upload clinical notes into payer platforms Track review progress and update internal logs Follow HIPAA and privacy standards at all times What We’re Looking For Strong organizational and multitasking skills Comfortable working with multiple digital systems Clear, professional communication Why You’ll Love Working Here Fully remote Great entry path toward UM coordinator roles Supportive training and structured workflows Apply today and take the first step toward your future as a Utilization Management Assistant. #J-18808-Ljbffr New paradigm staffing
- ...Remote Utilization Management Support Clerk We’re looking for a detail-oriented and motivated Remote Utilization Management Support Clerk to join... ...review Upload and organize records in UM systems Assist nurses and medical directors with administrative tasks...Remote work
- Humana is seeking an UM Administration Coordinator to support utilization management operations. You will review information, maintain records,... ...emphasizes accuracy, timeliness, and adherence to policies in a remote setting. Requirements include administrative/operational...Remote jobWork at office
- ...403b, 457b and 457Employee Assistance Program (EAP)Campus Recreation... ..., Physical Plant, and Utilities oversees daily operations, maintenance... ...work, assisting with budget management, ensuring compliance with... ...position eligible for a remote or hybrid work arrangement,...Remote workPermanent employmentFull timeWork at officeFlexible hours
- ...for expenditures Ensures effective management and internal controls of assigned agency... ...collective bargaining unit differences Utilizes travel system to initiate, complete,... ...most problems and work issues without the assistance of a manager or more experienced...Remote workContract workWork at officeShift work
- ...Management And Program Assistant Serves as a Management and Program Assistant in Technical Operations. This job is open to the public U.S.... ...and routine tasks in support of administrative program; utilizing automated systems to maintain data; and supporting the office...Remote workContract workWork at office
- ...Management And Program Assistant Serves as a Management and Program Assistant in Technical Operations. This job is open to current or former... ...and software applications, including CASTLE, eLMS, and E2. Utilizes a variety of financial applications such as DELPHI, REGIS...Remote workPermanent employmentContract workWork at office
$114.17k - $138.79k
...collaborative team responsible for managing airport operations within the... ...management reflect accurate utilization of Airport assets and... ...adjust assignments for gating, remote parking, check-in counters, baggage... ...field response teams to assist in addressing operational issues...Remote workFull timeContract workTemporary workWork experience placementWork at officeImmediate startWorldwideShift work- ...Utilization Management AssistantDubuque, Iowa, United StatesUtilization Management AssistantLocation... ...Onsite in Dubuque, IA. Also accepting remote applicants.Are you passionate about... ...seeking a dedicated Utilization Management Assistant to join our healthcare team. We are...Remote workWork at office
- ...Property Management Assistant Are you passionate about assisting remote associates to enhance neighbors (tenants) experiences at the shopping center? Are you known... ...incoming mail and courier packages. Provide utility information to Tenants as needed and complete On/...Remote workWork at office
- ...Utilization Management Assistant At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians...Full timeWork at officeMonday to FridayWeekend work
- ...Utilization Management Assistant We're hunting for a Utilization Management Assistant, someone who's ready to be part of a growing team with amazing opportunities. Receives, processes and completes data entry of demographic information on all referral/authorization...
$20.07 - $28.59 per hour
...requirements and communicates with care managers, utilization review RNs, revenue cycle, and payers... ...and expectations. If applying for a remote or hybrid role, this includes remote work... ...best jobs for you. While HiredScore assists in reviewing applications, all final decisions...Remote workHourly payFull timeMonday to FridayShift work- ...the Serials Acquisitions and Management group, as well as the Electronic... ...received by the library. Assists in the acquisitions and/or cataloging... ...and online bibliographic utilities, such as OCLC Connexion.... ...compliant with Harvard University remote work policies. There may be...Remote workWork experience placementFlexible hoursShift work
- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home role in the EST time zone. The position supports utilization management and benefit coordination, requiring an active RN license and hospital experience. Responsibilities...Remote workWork from home
- ...Spectrum Healthcare Resources is seeking a Utilization Manager Registered Nurse (UMRN) to work entirely remotely from home. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of Active Duty and eligible retirees...Remote workWork from homeMonday to Friday
- ...Humana is seeking a Manager, Utilization Management Nursing to lead coordination and interpretation of medical services and benefit determinations in a remote, home‑based role. You will apply advanced nursing knowledge, guide teams, and collaborate across departments...Remote workWork from home
$18 - $25 per hour
...Job Title: Case Management Assistant Job Description The Case Management Assistant supports... ...work efficiently in a fast-paced, fully remote healthcare environment.... ...accurate information is shared. Support utilization review transmission and manage high volumes...Remote workLong term contractContract workTemporary workWork at officeShift workRotating shift- ...Medical Management Support SpecialistSchedule: Remote position. Monday through Friday, 8:00 a.m. to 5:00 p.m. Pacific... ...established turnaround times.Assist internal and external customers with... ...managed care environment preferred.Utilization Management experience required....Remote workWork at officeImmediate startMonday to Friday
$275k - $325k
...affiliate locations of care across five states and growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona Oregon FloridaThe Medical Director role provides clinical...Remote workWork from home- A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
$25.44 - $39.31 per hour
...supervision of the Supervisor, the Care Management Assistant performs essential duties to the... ...assists with coordination of clinical utilization review, and makes third party payer notifications... ...US Pay Range $25.44 - $39.31/hr Remote or Onsite Onsite Job Schedule Per...Remote workDaily paidWork at officeLocal areaShift work- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely, safe, and appropriate...Remote workFull timeWork from home
- AUI Power in Elkton, MD seeks a detail-oriented Project Management Assistant to support the project management team on underground utilities projects. The role focuses on planning, coordinating, and documenting work to ensure safety and compliance, while fostering collaboration...Work at office
- Spectrum Healthcare Resources seeks a Utilization Manager Registered Nurse (UMRN) to work entirely from home in a fully remote role. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of active duty and eligible...Remote jobWork from homeMonday to Friday
- CVS Health is seeking a Utilization Management Clinical Consultant to work remotely from home, primarily serving Louisiana. The role focuses on examining medical necessity, applying clinical guidelines, and guiding providers in utilization management processes. The position...Remote jobWork from home
- Arcadis U.S.Inc. seeks a Utility Management Lead for the Southeast US to lead a team of utility coordinators, oversee utility management for... ...You will identify conflicts, support avoidance activities, and assist with adjustments, relocations, or new installations as needed...Remote jobWork at officeWork from homeRelocation
- ...Head Start Child Development Assistant DIVISION: Office of Early Learning... ...with others; work with data utilizing defined but different... ...breaks for students, behavior management, bus pick‑up, etc.) for the purpose... ...how to manage stress. Remote Work Requirements: Ability to...Remote workWork experience placementWork at officeImmediate startFlexible hours
- A leading payment management solutions provider seeks an Offsite Invoice Payment Specialist to manage utility invoice entries in a work-from-home setup. The role requires high... ...efficiency and accuracy in a supportive environment. #J-18808-Ljbffr Remote Jobs SolutionsRemote jobWork from home
$116.3k - $264.6k
Utilization Management Assistant Director - RN Work Location: Los Angeles, CA Salary Range: $116,300 - $264,600 annually Posting Date: May 29, 2026 Join a world‑class healthcare organization and play a key leadership role in delivering high‑quality, patient‑centered...- UCLA Health in Los Angeles, CA seeks a Utilization Management Assistant Director - RN to lead ICM and UM programs for high‑risk populations. You will supervise a multidisciplinary team, drive care coordination, and ensure regulatory compliance across care settings. The...
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