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
33 jobs
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Manager, UM Behavioral Health
Manager, UM Behavioral Health
6 days ago
Humana
- From: Oklahoma (USA) (Full Remote)
- Full time
- 86 - 86K
Utilization ManagementClinical Medicine
Clinical Review Clinician - Appeals RN
Clinical Review Clinician - Appeals RN
3 days ago
Centene Corporation
- From: Indiana (USA), Kentucky (USA), Texas (USA) (Full Remote)
- Full time
- Entry-level / graduate
- 0 - 0K
Clinical Data AnalysisUtilization ManagementMedical Necessity
Utilization Management Bed Manager
Utilization Management Bed Manager
17 days ago
Centurion Health
- From: Illinois (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementNursing
Care Manager (Work from Home)
Care Manager (Work from Home)
6 days ago
Bright Health
- From: Florida (USA) (Full Remote)
- Full time
Care CoordinationClinical Data AnalysisCross-Functional CollaborationCare Planning
Utilization Review Nurse
Utilization Review Nurse
14 days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
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
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
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
Utilization Management Clinician I
Utilization Management Clinician I
30+ days ago
Community Health Plan of Washington
- From: Washington (USA) (Full Remote)
- Full time
- Entry-level / graduate
Clinical Data AnalysisUtilization ManagementCare Coordination
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
Utilization Management Specialist
Utilization Management Specialist
12 days ago
SmarterDx
- From: United States (Full Remote)
- Full time
- 115 - 115K
Utilization ManagementClinical Data ManagementCare ManagementTreatment Planning
Utilization Management Clinician I
Utilization Management Clinician I
30+ days ago
Community Health Plan of Washington
- From: Washington (USA) (Full Remote)
- Full time
- Entry-level / graduate
Care CoordinationUtilization ManagementClinical Assessments
Healthcare - Care Review Clinician II
Healthcare - Care Review Clinician II
11 days ago
Saviance Technologies Pvt. Ltd.
- From: Washington (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementMedical Record ManagementInterQual Criteria
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
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
Assistant Medical Director
Assistant Medical Director
16 days ago
Premera Blue Cross
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisMedical NecessityClinical Consulting
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementDischarge PlanningInterQual Criteria
Assistant Nurse Manager-Case Management Full Time 40 hours
Assistant Nurse Manager-Case Management Full Time 40 hours
30+ 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
Behavioral Health Utilization Reviewer
Behavioral Health Utilization Reviewer
4 days ago
Blue Cross and Blue Shield of Louisiana
- From: United States (Full Remote)
- Full time
Behavioral HealthClinical Assessments
RN Utilization Management Reviewer
RN Utilization Management Reviewer
26 days ago
DCX PH Inc.
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementClinical InformaticsRegulatory ComplianceMedical Necessity
Clinical Auditor
Clinical Auditor
7 days ago
Savista
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
- 0 - 0K
Utilization ManagementMedical Record ManagementClinical AuditingClaims And Litigation Management
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)
30+ 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
9 days ago
Performant Corp
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
- 69 - 69K
ICD Coding (ICD-9/ICD-10)Clinical AssessmentsCPT Coding
Career Opportunities: Nurse Reviewer (Registered Nurse) - Remote in US (26772)
Career Opportunities: Nurse Reviewer (Registered Nurse) - Remote in US (26772)
21 days ago
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization Management
Physician Advisor (Administrative Role)
Physician Advisor (Administrative Role)
26 days ago
MASC Medical Recruitment Firm
- From: United States, Boynton Beach (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceGood Documentation PracticesClinical Consulting
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
30+ 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
30+ days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementAcute CareInterQual Criteria
DRG Revenue Integrity Auditor
DRG Revenue Integrity Auditor
21 days ago
CorroHealth
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Coding TheoryICD 503Clinical DocumentationAuditing
Career Opportunities: Clinical Quality Nurse Reviewer, Sr. Specialist- Remote (32022)
Career Opportunities: Clinical Quality Nurse Reviewer, Sr. Specialist- Remote (32022)
21 days ago
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
AuditingNurse Licensure CompactClinical AssessmentsMedical Record Management
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
30+ 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
30+ days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
Career Opportunities: Utilization Review Nurse- Remote (28775)
Career Opportunities: Utilization Review Nurse- Remote (28775)
30+ days ago
Gainwell Technologies LLC
- From: Anywhere (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementPrior AuthorizationClinical AssessmentsClinical Documentation
