Utilization Management
Reston, VA · Remote
Reston, VA (Remote) Duration: 3+ Months Contract PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre ...
New
Reston, VA · Remote
Reston, VA (Remote) Duration: 3+ Months Contract PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre ...
New
Reston, VA · Remote
Reston, VA (Remote) Duration: 3+ Months Contract PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre ...
New
Washington, DC · Remote
$25.90 - $37.30/hr
Utilization Management Inpatient Clinical SpecialistWork from home within Washington, Oregon, Idaho ... for all work. #LI-Remote Pay ranges vary based on the candidate's work location. The expected ...
Washington, DC · Remote
$25.90 - $37.30/hr
Utilization Management Inpatient Clinical SpecialistWork from home within Washington, Oregon, Idaho ... for all work. #LI-Remote Pay ranges vary based on the candidate's work location. The expected ...
Silver Spring, MD · Remote
$60 - $72.25/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Silver Spring, MD · Remote
$60 - $72.25/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Pasadena, MD · Remote
$59.25 - $71/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Pasadena, MD · Remote
$59.25 - $71/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Ashburn, VA · Remote
$59.50 - $71.50/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Ashburn, VA · Remote
$59.50 - $71.50/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Annandale, VA · Remote
$58 - $69.50/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Annandale, VA · Remote
$58 - $69.50/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Ashburn, VA · On-site +1
$58.50 - $71.25/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Ashburn, VA · On-site +1
$58.50 - $71.25/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Annandale, VA · On-site +1
$57 - $69.50/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Annandale, VA · On-site +1
$57 - $69.50/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Pasadena, MD · On-site +1
$58.25 - $70.75/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Pasadena, MD · On-site +1
$58.25 - $70.75/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Silver Spring, MD · On-site +1
$59 - $72/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Silver Spring, MD · On-site +1
$59 - $72/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Annapolis, MD · On-site +1
$85K/yr
Care Management / Utilization Management Salary: $85,000 Position Summary A managed care ... remote or hybrid environment Preferred Experience Managed care, health plan, or insurance case ...
Annapolis, MD · On-site +1
$85K/yr
Care Management / Utilization Management Salary: $85,000 Position Summary A managed care ... remote or hybrid environment Preferred Experience Managed care, health plan, or insurance case ...
Washington, DC · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... At least 3 years of direct clinical care or experience in case management, utilization management ...
Washington, DC · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... At least 3 years of direct clinical care or experience in case management, utilization management ...
We go beyond merely providing a remote work option; we support and embrace it. We offer ... Provide clinical subject matter expertise to utilization management staff, case managers, and ...
We go beyond merely providing a remote work option; we support and embrace it. We offer ... Provide clinical subject matter expertise to utilization management staff, case managers, and ...
Mclean, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Mclean, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Washington, DC · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Washington, DC · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Rosslyn, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Rosslyn, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Rosslyn, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team
Rosslyn, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team
Washington, DC · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team
Washington, DC · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team
Mclean, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team
Mclean, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team
Washington, DC · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...
Washington, DC · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...
| Aspect | Remote Utilization Management | Remote Case Management |
|---|---|---|
| Credentials | RN, LPN, or licensed healthcare professionals | RN, LPN, or social workers |
| Work Environment | Healthcare facilities, insurance companies, telehealth | Healthcare providers, insurance, community agencies |
| Industry Usage | Insurance, healthcare, telehealth | Healthcare, social services, insurance |
| Primary Focus | Reviewing medical necessity, authorizations | Coordinating patient care, support services |
Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

Job Title: Utilization Management
Location: Reston, VA (Remote)
Duration: 3+ Months Contract
PURPOSE:
Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care.
3 years’ experience in health care/managed care setting or previous work experience within division
2 years of CPT and ICD-10 coding.
Previous authorization experience
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It services
1,001 - 5,000 Employees
Atlanta, GA, US
1994