Remote InterQual Criteria Jobs
Remote from:
Software Development 17838B2B Sales & Account Management 10968CRM & Direct Marketing 10917Product 9303Back-End Development 9223Management and Leadership 8423Data and Analytics 8147finance 8094IT & Engineering 6553Enterprise Sales 6500Project & Program Management 5958Customer Support & Service 5958Sustainability & CSR 5474Sales Leadership & Strategy 5011DevOps & Infrastructure 4737Growth & Performance 3338Front-End Development 2857
39 jobs
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Registered Nurse Case Manager
Registered Nurse Case Manager
1 day ago
HealthCare Support
- From: Florida (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care ManagementClinical InformaticsTelehealthClinical Nursing
RN Case Manager Prior Authorizations
RN Case Manager Prior Authorizations
1 day ago
HealthCare Support
- From: Florida (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementPrior Authorization
RN Case Manager - Complex Care
RN Case Manager - Complex Care
1 day ago
HealthCare Support
- From: Florida (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care CoordinationCare ManagementPsychosocial AssessmentsPatient Education And Counseling
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
3 days ago
Bright Health
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
Utilization Management Clinician I
Utilization Management Clinician I
3 days ago
Community Health Plan of Washington
- From: Washington (USA) (Full Remote)
- Full time
- Entry-level / graduate
Clinical Data AnalysisUtilization ManagementCare Coordination
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
4 days ago
NeueHealth
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementMedical AbbreviationsPrior AuthorizationClinical Consulting
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
3 days ago
NeueHealth
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Authorization (Computing)Utilization ManagementMedical NecessityClinical Consulting
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
3 days ago
NeueHealth
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
3 days ago
Bright Health
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
Utilization Management Clinician I
Utilization Management Clinician I
3 days ago
Community Health Plan of Washington
- From: Washington (USA) (Full Remote)
- Full time
- Entry-level / graduate
Care CoordinationUtilization ManagementClinical Assessments
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
4 days ago
Bright Health
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
4 days ago
Bright Health
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Medical ManagementPrior AuthorizationClinical Consulting
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
4 days ago
NeueHealth
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
Pre-Authorization Nurse Supervisor
Pre-Authorization Nurse Supervisor
10 days ago
Humana
- From: Wisconsin (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementNursingPrior Authorization
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
30+ days ago
Gainwell Technologies LLC
- From: Maine (USA) (Full Remote)
- Full time
Utilization ManagementInterQual CriteriaMedical NecessityClinical Documentation
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
4 days ago
NeueHealth
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
Utilzation Review
Utilzation Review
13 days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
4 days ago
Bright Health
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
Healthcare - Care Review Clinician I
Healthcare - Care Review Clinician I
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), New York (USA), Ohio (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
- Entry-level / graduate
Behavioral HealthNurse Licensure CompactPrior Authorization
Utilization Review RN, Part-Time
Utilization Review RN, Part-Time
3 days ago
Netsmart
- From: United States (Full Remote)
- Part time
- Mid-level (2-5 years)
Utilization ManagementNurse Licensure CompactInterQual Criteria
Utilzation Review
Utilzation Review
12 days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
Utilization Review RN, Part-Time
Utilization Review RN, Part-Time
3 days ago
Netsmart
- From: United States (Full Remote)
- Part time
- Mid-level (2-5 years)
Utilization ManagementNurse Licensure CompactInterQual Criteria
BH UM Clinician - Fully remote
BH UM Clinician - Fully remote
30+ days ago
MetroPlusHealth
- From: New York (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthDischarge Planning
Nurse Practitioner (Ocean, New Jersey)
Nurse Practitioner (Ocean, New Jersey)
30+ days ago
CareCentrix
- From: New Jersey (USA) (Full Remote)
- Full time
Utilization ManagementAcute Care NursingClinical AuditingBasic Patient Care
Utilization Review Nurse
Utilization Review Nurse
13 days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementDischarge PlanningInterQual Criteria
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Medical ManagementClinical Assessments
Utilization Review RN, Full-Time - Multiple Shifts Available
Utilization Review RN, Full-Time - Multiple Shifts Available
18 days ago
Netsmart
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementNurse Licensure CompactInterQual Criteria
Assistant Nurse Manager-Case Management Full Time 40 hours
Assistant Nurse Manager-Case Management Full Time 40 hours
12 days ago
Bristol Hospital and Health Care Group, Inc.
- From: United States, Bristol (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementDischarge PlanningUtilization ManagementBasic Patient Care
DRG Revenue Integrity Auditor
DRG Revenue Integrity Auditor
30+ days ago
CorroHealth
- From: United States (Full Remote)
- Full time
Diagnosis-Related GroupICD 503Clinical DocumentationHuman Interface Guidelines
UM Clinical Team Lead
UM Clinical Team Lead
30+ days ago
Lifelancer
- From: United States, New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 84 - 94K
Medical Insurance ClaimsInterQual CriteriaUtilization Management
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
22 days ago
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementNursing
Medical Review Nurse II - Clinical Validation
Medical Review Nurse II - Clinical Validation
30+ days ago
Performant Corp
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementClinical InformaticsAuditingMedical Coding
Utilization Review Nurse
Utilization Review Nurse
13 days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementAcute CareInterQual Criteria
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Discharge PlanningCare CoordinationClinical Assessments
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
21 days ago
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization Management
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
20 days ago
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization Management
Utilization review Nurse
Utilization review Nurse
12 days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
Manager, UM Behavioral Health
Manager, UM Behavioral Health
25 days ago
Humana
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical MedicineCare Management
Career Opportunities: Utilization Review Nurse- Remote (28775)
Career Opportunities: Utilization Review Nurse- Remote (28775)
3 days ago
Gainwell Technologies LLC
- From: Anywhere (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementPrior AuthorizationClinical AssessmentsClinical Documentation
