Utilization Management The physician directly supports Utilization Management and Care Management ... This role is designated by Independence as fully remote. The incumbent will not be required to ...
Utilization Management The physician directly supports Utilization Management and Care Management ... This role is designated by Independence as fully remote. The incumbent will not be required to ...
Outcomes Manager - UR (Per Diem)
Pennsauken, NJ · Remote
$38.33 - $59.58/hr
Remote Type: 100% Remote Employment Type: Employee Employment Classification: Per Diem Time Type ... Utilization Management Utilizes Payer specific screening tools as a resource to assist in the ...
Outcomes Manager - UR (Per Diem)
Pennsauken, NJ · Remote
$38.33 - $59.58/hr
Remote Type: 100% Remote Employment Type: Employee Employment Classification: Per Diem Time Type ... Utilization Management Utilizes Payer specific screening tools as a resource to assist in the ...
Outcomes Manager - UR (Per Diem)
Pennsauken, NJ · On-site +1
$38.33 - $59.58/hr
Remote Type: 100% Remote Employment Type: Employee Employment Classification: Per Diem Time Type ... Utilization Management • Utilizes Payer specific screening tools as a resource to assist in the ...
Outcomes Manager - UR (Per Diem)
Pennsauken, NJ · On-site +1
$38.33 - $59.58/hr
Remote Type: 100% Remote Employment Type: Employee Employment Classification: Per Diem Time Type ... Utilization Management • Utilizes Payer specific screening tools as a resource to assist in the ...
Physician Advisor II - Remote
Philadelphia, PA · On-site +1
Provides consultation to attendings, nurses, and case management staff regarding complex clinical issues and advises on justification required for continued stay, medical necessity and utilization ...
Physician Advisor II - Remote
Philadelphia, PA · On-site +1
Provides consultation to attendings, nurses, and case management staff regarding complex clinical issues and advises on justification required for continued stay, medical necessity and utilization ...
Healthcare Payer Bid Manager (Remote)
Malvern, PA · On-site +1
$110K - $140K/yr
Based on this role's business requirements, this is a remote position open to qualified applicants ... Utilization Management, Payment Integrity, and Care Management. * Experience coordinating cross ...
Healthcare Payer Bid Manager (Remote)
Malvern, PA · On-site +1
$110K - $140K/yr
Based on this role's business requirements, this is a remote position open to qualified applicants ... Utilization Management, Payment Integrity, and Care Management. * Experience coordinating cross ...
... and utilization management. The Behavioral Health Care Manager facilitates access to behavioral ... Remote - DE, NJ, NY, PA must live within 3 hours of Robbinsville NJ * Monday-Friday 10:00am-2:00pm ...
... and utilization management. The Behavioral Health Care Manager facilitates access to behavioral ... Remote - DE, NJ, NY, PA must live within 3 hours of Robbinsville NJ * Monday-Friday 10:00am-2:00pm ...
... and utilization management. The Behavioral Health Care Manager facilitates access to behavioral ... Remote - DE, NJ, NY, PA must live within 3 hours of Robbinsville NJ * Monday-Friday 10:00am-2:00pm ...
... and utilization management. The Behavioral Health Care Manager facilitates access to behavioral ... Remote - DE, NJ, NY, PA must live within 3 hours of Robbinsville NJ * Monday-Friday 10:00am-2:00pm ...
This position will be remote within the designated market with occasional in-home patient treatment ... medical utilization management, and risk adjustment. * Current state medical license without ...
This position will be remote within the designated market with occasional in-home patient treatment ... medical utilization management, and risk adjustment. * Current state medical license without ...
Clinical Appeals Nurse - Full Time Remote - Jefferson Health Articulates the job's main ... Specialized Diploma Experience - Required * 10 years of clinical or case management/utilization ...
Clinical Appeals Nurse - Full Time Remote - Jefferson Health Articulates the job's main ... Specialized Diploma Experience - Required * 10 years of clinical or case management/utilization ...
Clinical Appeals Nurse - Full Time Remote - Jefferson Health Articulates the job's main ... Specialized Diploma Experience - Required * 10 years of clinical or case management/utilization ...
Clinical Appeals Nurse - Full Time Remote - Jefferson Health Articulates the job's main ... Specialized Diploma Experience - Required * 10 years of clinical or case management/utilization ...
Case Manager Registered Nurse - Field in Mercer & Surrounding Counties NJ
Trenton, NJ · Remote
$78K - $99K/yr
Mercer & Surrounding Counties, NJ Position Summary This is a Field/Remote Case Manager opportunity ... Health service strategies, policies, and programs are comprised of utilization management, quality ...
Case Manager Registered Nurse - Field in Mercer & Surrounding Counties NJ
Trenton, NJ · Remote
$78K - $99K/yr
Mercer & Surrounding Counties, NJ Position Summary This is a Field/Remote Case Manager opportunity ... Health service strategies, policies, and programs are comprised of utilization management, quality ...
Remote Tax Supervisor (public accounting)
Philadelphia, PA · Remote
$112K - $146K/yr
A growing CPA firm is seeking an experienced Remote Tax Supervisor to join its team. This ... managing deadlines, and serving as a trusted resource for both clients and team members. A CPA ...
Quick apply
Remote Tax Supervisor (public accounting)
Philadelphia, PA · Remote
$112K - $146K/yr
A growing CPA firm is seeking an experienced Remote Tax Supervisor to join its team. This ... managing deadlines, and serving as a trusted resource for both clients and team members. A CPA ...
Claims Supervisor, Workers Compensation - Remote (10232)
Philadelphia, PA · Remote
$95K - $105K/yr
About the Role 100% remote, work-from-home job opening. The Claims Supervisor, Workers Compensation ... Workload management to balance case loads and ensure claims are assigned to the appropriate ...
Quick apply
Claims Supervisor, Workers Compensation - Remote (10232)
Philadelphia, PA · Remote
$95K - $105K/yr
About the Role 100% remote, work-from-home job opening. The Claims Supervisor, Workers Compensation ... Workload management to balance case loads and ensure claims are assigned to the appropriate ...
Psychiatrist Supervisor
Newtown, PA · Remote
$200 - $300/hr
... remote setting. Job Summary The Psychiatrist Supervisor will help clinicians evaluate cases ... Offer guidance on risk management and documentation. * Support clinician development through ...
Psychiatrist Supervisor
Newtown, PA · Remote
$200 - $300/hr
... remote setting. Job Summary The Psychiatrist Supervisor will help clinicians evaluate cases ... Offer guidance on risk management and documentation. * Support clinician development through ...
Sales Manager Remote
Philadelphia, PA · Remote
$80K - $120K/yr
Proven experience in sales leadership, team management, or a comparable supervisory role; experience in remote team management is preferred. * Demonstrated ability to coach and develop sales ...
Quick apply
Sales Manager Remote
Philadelphia, PA · Remote
$80K - $120K/yr
Proven experience in sales leadership, team management, or a comparable supervisory role; experience in remote team management is preferred. * Demonstrated ability to coach and develop sales ...
Psychiatrist Supervisor
Newtown, PA · Remote
$200 - $300/hr
... remote setting. Job Summary The Psychiatrist Supervisor will help clinicians evaluate cases ... Offer guidance on risk management and documentation. * Support clinician development through ...
Psychiatrist Supervisor
Newtown, PA · Remote
$200 - $300/hr
... remote setting. Job Summary The Psychiatrist Supervisor will help clinicians evaluate cases ... Offer guidance on risk management and documentation. * Support clinician development through ...
Psychiatrist Supervisor
Newtown, PA · On-site +1
$200 - $300/hr
... remote setting. Job Summary The Psychiatrist Supervisor will help clinicians evaluate cases ... Offer guidance on risk management and documentation. * Support clinician development through ...
Psychiatrist Supervisor
Newtown, PA · On-site +1
$200 - $300/hr
... remote setting. Job Summary The Psychiatrist Supervisor will help clinicians evaluate cases ... Offer guidance on risk management and documentation. * Support clinician development through ...
Remote Entry Level Supervisor
Philadelphia, PA · Remote
$30K/yr
You would assist in managing the day-to-day operations of a virtual workspace and work directly with agents to improve program results. You would be responsible for daily workspace operations ...
Remote Entry Level Supervisor
Philadelphia, PA · Remote
$30K/yr
You would assist in managing the day-to-day operations of a virtual workspace and work directly with agents to improve program results. You would be responsible for daily workspace operations ...
Head of Sales (Remote)
PA · Remote
Network Utilization: Leverage your existing contacts to open doors with major brands and rights ... Pipeline Management: Architect, track, and forecast a robust corporate partner pipeline.
Quick apply
Head of Sales (Remote)
PA · Remote
Network Utilization: Leverage your existing contacts to open doors with major brands and rights ... Pipeline Management: Architect, track, and forecast a robust corporate partner pipeline.
New Jersey-RN Case Manager
Burlington, NJ · Remote
$45 - $60/hr
... emergency department utilization while enhancing quality metrics (HEDIS/STAR) and member ... between remote case management and mobile healthcare delivery, ensuring high-quality, patient ...
New Jersey-RN Case Manager
Burlington, NJ · Remote
$45 - $60/hr
... emergency department utilization while enhancing quality metrics (HEDIS/STAR) and member ... between remote case management and mobile healthcare delivery, ensuring high-quality, patient ...
Remote Supervisor Utilization Management information
See Philadelphia, PA salary details
$39.4K - $51.1K
9% of jobs
$59.8K is the 25th percentile. Wages below this are outliers.
$51.1K - $62.9K
22% of jobs
$62.9K - $74.7K
11% of jobs
The median wage is $82K / yr.
$74.7K - $86.5K
14% of jobs
$86.5K - $98.3K
12% of jobs
$105.7K is the 75th percentile. Wages above this are outliers.
$98.3K - $110.1K
13% of jobs
$110.1K - $121.9K
13% of jobs
$121.9K - $133.7K
5% of jobs
$133.7K - $145.4K
2% of jobs
$145.4K - $157.2K
0% of jobs
$157.2K - $169K
0% of jobs
$39.4K
$91.8K
$169K
How much do remote supervisor utilization management jobs pay per year?
What is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?
| Aspect | Remote Supervisor Utilization Management | Remote Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or supervisor certifications | RN, with clinical review certifications |
| Work Environment | Supervises teams, manages utilization processes remotely | Performs clinical reviews, assesses patient necessity remotely |
| Employer & Industry Usage | Health insurance companies, managed care organizations | Insurance companies, third-party administrators |
| Primary Focus | Overseeing utilization management operations | Conducting clinical utilization reviews |
Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.
What are popular job titles related to Remote Supervisor Utilization Management jobs in Philadelphia, PA?
For Remote Supervisor Utilization Management jobs in Philadelphia, PA, the most frequently searched job titles are:
- Remote Utilization Management
- Utilization Reviewer
- Manager Utilization Management
- Hedis Registered Nurse
- Remote Ltss
- Cvs Health Utilization Management Remote
- Remote Disease Management Nurse
- Utilization Management Per Diem
- Evening Physician Advisor Utilization Review
- Remote Clinical Rehabilitation Coordinator
What job categories do people searching Remote Supervisor Utilization Management jobs in Philadelphia, PA look for?
The top searched job categories for Remote Supervisor Utilization Management jobs in Philadelphia, PA are:
What cities near Philadelphia, PA are hiring for Remote Supervisor Utilization Management jobs?
Cities near Philadelphia, PA with the most Remote Supervisor Utilization Management job openings:

Full-time
Re-posted 13 days ago
Independence Blue Cross rating
8.8
Based on 26 frontline employees who took The Breakroom Quiz
56th of 312 rated insurance
Job description
Schedule: 5 days (Mon-Fri, 8:30-5p), ** on-call requirement: Saturday and Sunday full workday, approx. every 12 weeks, depending on number of MDR's.
The Medical Director serves as a physician leader responsible for promoting the delivery of safe and effective medical care in the most cost-effective way for the health plans offered by Independence Blue Cross and subsidiaries. There are multiple elements of discrete work that may fall under the role including:
Utilization Management
The physician directly supports Utilization Management and Care Management and other business activities where involvement of a physician is determined to be in the best interest of Independence. The Medical Director will be responsible for rendering coverage and payment determinations based on the terms and conditions of the health plans for which Independence serves as claims administrator, and on the terms and conditions of contracts executed between Independence and networks of participating health care providers.
The Medical Director will exercise sound decision making based on clinical guidelines for best practices, a strong knowledge of clinical medicine, the practical realities of the delivery of health care in the state of Pennsylvania, and a thorough understanding of the principles of population health, quality management, patient safety and health insurance. The Medical Director will be expected to effectively collaborate with professional staff, senior leadership, management and associates and with external partners to promote the delivery of cost-effective health care across all lines of business.
Required Qualifications and Experience:
- We require a Medical Doctor or Doctor of Osteopathy degree from a medical school or osteopathic medical school recognized by the American Association of Medical Colleges (AAMC), the American Osteopathic Association (AOA), or the World Health Organization (WHO).
- Has an unrestricted and unencumbered Pennsylvania license to practice clinical medicine or osteopathic medicine.
- Current Board Certification by ABMS or AOBMS - family medicine, internal medicine or pediatrics board certification preferred
- Ability to successfully complete Independence Blue Cross credentialing process
Fully Remote:
This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
What Independence Blue Cross employees say
Pay
Benefits
Hours and flexibility
Workplace
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About Independence Blue Cross
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1938