Top 958 utilization management Jobs in remote

Telemedicine Physician - Primary Care/ Behavioral/Mental Health
Doctronic —Remote
- $260,000 - $300,000 a year
- Weekends as needed
- Remote
- Addiction Medicine
- Primary Care
- HIPAA
- Flexible schedule
Quick Apply
Clinical Psychologist
Harbor Psychiatry & Mental Health —Remote
- $141,400 - $163,620 a year
- Full-time
- Remote
- Doctoral degree
- Psychiatry
- Addiction Medicine
- Health savings account
- Health insurance
Quick Apply
Director of Speech School Programs
SLEA Therapies —Remote
- $110,000 - $120,000 a year
- Full-time
- Background check
- School experience
- Microsoft Excel
- Health insurance
- 401(k)
Quick Apply
Program Director - Behavioral Health
Nutrition As Therapy —Remote
- $90,000 - $115,000 a year
- Weekends as needed
- Remote
- Microsoft Word
- LMFT
- Spanish
- Health insurance
- 401(k)
Quick Apply
Utilization Management Physician Reviewer
Toney HealthCare Consulting, LLC —Remote
- From $175 an hour
- Part-time
- Remote
- Medicine
- 3 years
- Senior level
- Health insurance
Quick Apply
Clinical Appeals Reviewer (Licensed Healthcare Professional)
Tanaq Support Services LLC —Remote
- Weekends as needed
- Remote
- Nursing
- RN License
- Writing skills
Health IT Clinical Specialist
Los Angeles Network for Enhanced Services —Remote
- $90,000 - $120,000 a year
- Full-time
- Remote
- 5 years
- Licensed Clinical Social Worker
- Mid-level
Quick Apply
VP, Clinical Operations & Care Delivery - Remote
Sharecare —Remote
- Full-time
- Remote
- Nursing
- Organizational skills
- Senior level
Utilization Review Nurse- MUST HAVE CALIFORNIA LICENSE
TotalMed —Remote
- $40 - $42 an hour
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
6d
Clinical Admissions Manager
Charlie Health —Remote
- $80,000 - $90,000 a year
- Full-time
- Remote
- Background check
- LMFT
- Licensed Clinical Social Worker
- Health insurance
Pharmacy Operations Specialist (TEMP)
WellSense Health Plan —Remote
- $20.19 - $28.37 an hour
- Temporary
- Mid-level
- High school diploma or GED
- US work authorization
10d
Clinical Operations Representative
TurningPoint Healthcare Solutions, LLC —Remote
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Utilization Review Specialist
Integrity Practice Solutions —Remote
- Full-time
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
4d
Billing/AR Representative - Remote
EYECARE SERVICES PARTNERS MANAGEMENT, LLC —Remote
- $19 - $25 an hour
- Full-time
- Remote
- Basic math
- Mid-level
- Windows
- Paid holidays
- Disability insurance
Quick Apply
Clinical Admissions Manager
Charlie Health Clinical —Remote
- $80,000 - $90,000 a year
- Full-time
- Remote
- Background check
- LMFT
- Licensed Clinical Social Worker
- Health insurance
Provider Relations Specialist
Personify Health —Remote
- $24 - $29 an hour
- Email
- Remote
- Microsoft Outlook
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
11d
Clinical Operations Manager
Luro Health —Remote
- $92,000 - $130,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
Quick Apply
Therapeutic Services Director
Behavioral Health Solutions —Remote
- Full-time
- Remote
- 5 years
- Master's degree
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Clinical Solutions Consultant
CareXM —Remote
- $100,000 a year
- Full-time
- Remote
- 3 years
- Analysis skills
- Bachelor's degree
Quick Apply
Home Infusion Intake Coordinator
AIS Healthcare —Remote
- Full-time
- Computer literacy
- Writing skills
- English
- Disability insurance
- Health insurance
Quick Apply

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utilization management jobs near remote

Telemedicine Physician - Primary Care/ Behavioral/Mental Health

Doctronic -
Remote

Quick Apply

Job Details

Full-time
$260,000 - $300,000 a year

Benefits

Flexible schedule

Qualifications

Teamwork
Psychiatry
Working with individuals with chronic illnesses
HIPAA
Utilization management
Telehealth experience
Resource utilization in healthcare
Telehealth platforms
Telehealth therapy
Medical License
Disease state management
Internal medicine
Prescribing medications
Patient interaction
General practice
Psychopharmacology
Family medicine

Full Job Description

Telemedicine Primary Care / Behavioral Health/Mental Health Physician Job Description

Position: Telemedicine Primary Care / Behavioral Health Physician
Employment Type: W2 – full-time

Location: Remote
Platform: Doctronic.ai

Overview
We are seeking a Board-Certified Telemedicine Physician to deliver high-quality, integrated within a value-based care model. This role is ideal for physicians who are motivated by improving outcomes, reducing total cost of care, and delivering proactive, longitudinal patient management through a virtual-first platform.

Physicians will provide comprehensive care across both physical and behavioral health, managing acute and chronic conditions while addressing underlying drivers of utilization, including mental health and social factors. Care is delivered through scheduled and on-demand encounters, with all interactions documented in the Doctronic platform.

Key Responsibilities:

Deliver whole-person, longitudinal care that integrates primary care and behavioral health, with a focus on measurable outcomes.
Manage acute and chronic conditions, with an emphasis on reducing avoidable ED visits, hospitalizations, and specialty leakage.
Conduct behavioral health screening, diagnosis, and front-line management (e.g., anxiety, depression, ADHD, substance use), integrating care into overall treatment plans.
Prescribe and manage both medical and psychotropic medications in accordance with evidence-based guidelines.
Utilize data-driven, measurement-based care (e.g., PHQ-9, GAD-7, utilization patterns) to guide clinical decisions and track patient progress.
Identify and address high-risk patients and rising-risk populations through proactive outreach and care interventions.
Perform risk stratification and care planning to improve quality metrics and patient outcomes.
Collaborate with a multidisciplinary care team (behavioral health specialists, care coordinators, and support staff) to ensure coordinated, high-value care delivery.
Document all patient interactions and care plans in the Doctronic EHR, ensuring accuracy for quality reporting and value-based reimbursement.
Maintain compliance with HIPAA, telehealth regulations, and state-specific prescribing requirements.

Requirements:

Active, unrestricted medical license in at least 40 U.S. states (50 states preferred).
Board Certification in Family Medicine or Internal Medicine required.
Demonstrated experience in integrated care delivery, including management of common behavioral health conditions within a primary care setting.
Strong understanding of value-based care principles, including quality metrics, utilization management, and total cost of care.
Experience managing chronic conditions and high-risk patient populations in a longitudinal care model.
Comfortable prescribing and managing psychotropic medications within a primary care scope.
Experience with telemedicine platforms and delivering high-quality virtual care.
Excellent communication skills with a patient-centered, outcomes-driven approach.

Preferred Qualifications:

Experience in value-based care environments (e.g., Medicare Advantage, Medicaid, ACOs, employer-sponsored populations).
Familiarity with quality measures such as HEDIS, STAR ratings, and other performance-based metrics.
Training or experience in behavioral health, addiction medicine, or collaborative care models (CoCM).
Experience with data-driven care, population health tools, and outcomes tracking.
Multi-state licensure via IMLCC strongly preferred.
Prior experience in a virtual-first or digital health organization.

Schedule & Commitment:

Minimum weekly scheduling of 40 hours required.
Must be willing to work evenings, weekends, and occasional overnight shifts to support 24/7 patient access.

Desired State Licenses:

Minimum: IMLCC states plus California and New York
Preferred: All 50 states plus Washington, D.C.

Pay: $260,000.00 - $300,000.00 per year

Benefits:

Flexible schedule

Application Question(s):

What state are you located?
This requires you to work weekends, evening and overnight - are you committed to working these timeslots?
Do you currently hold a medical license in all 50 states and DC?

Shift availability:

Night Shift (Required)
Overnight Shift (Required)

Work Location: Remote

Quick Apply

Refine Your Search

utilization management jobs in remote

Telemedicine Physician - Primary Care/ Behavioral/Mental Health

Clinical Psychologist

Director of Speech School Programs

Program Director - Behavioral Health

Utilization Management Physician Reviewer

Clinical Appeals Reviewer (Licensed Healthcare Professional)

Health IT Clinical Specialist

VP, Clinical Operations & Care Delivery - Remote

Utilization Review Nurse- MUST HAVE CALIFORNIA LICENSE

Clinical Admissions Manager

Pharmacy Operations Specialist (TEMP)

Clinical Operations Representative

Utilization Review Specialist

Billing/AR Representative - Remote

Clinical Admissions Manager

Provider Relations Specialist

Clinical Operations Manager

Therapeutic Services Director

Clinical Solutions Consultant

Home Infusion Intake Coordinator

I want to receive the latest job alert for utilization management in remote

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