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
36 jobs
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Clinical Appeals Specialist RN
Clinical Appeals Specialist RN
6 day ago
EvergreenHealth
- From: Washington (USA) (Full Remote)
- Full time
AppealsInsurance ReviewsMedical NecessityClinical Consulting
RC Appellate Clinician - Remote $10K Sign on Bonus
RC Appellate Clinician - Remote $10K Sign on Bonus
15 day ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
InterQual CriteriaMedical Necessity
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- From: United Kingdom (Full Remote)
- Senior (5-10 years)
- 81 - 113K
Medical Management
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare Coordination
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
30+ days ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
AppealsInterQual CriteriaMedical Necessity
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare CoordinationClinical Assessments
Medical Review Nurse RN
Medical Review Nurse RN
23 day ago
Florida Blue
- From: Florida (USA) (Full Remote)
- Full time
Clinical Data AnalysisNursingClinical AssessmentsPrior Authorization
Utilization Review Nurse, Full-Time (9a-9p EST), Remote
Utilization Review Nurse, Full-Time (9a-9p EST), Remote
3 day ago
Netsmart
- From: United States (Full Remote)
- Full time
Utilization ManagementNurse Licensure CompactInterQual Criteria
UM Prior Authorization Nurse, LVN/LPN
UM Prior Authorization Nurse, LVN/LPN
14 day ago
NeueHealth
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare CoordinationClinical Assessments
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
Utilization Review Clinician (RN, PT, OT) - Oregon
Utilization Review Clinician (RN, PT, OT) - Oregon
30+ days ago
WellSky
- From: Oregon (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementMedical GuidelineNursing
Utilization Management Specialist (Home-Based) - Prior Authorization
Utilization Management Specialist (Home-Based) - Prior Authorization
9 day ago
Sanford Health
- From: Minnesota (USA), North Dakota (USA), South Dakota (USA) (Full Remote)
- Part time
Utilization ManagementDiagnosis CodesInterQual CriteriaMedical Necessity
Clinical Reviewer - LPN
Clinical Reviewer - LPN
30+ days ago
TriWest Healthcare Alliance
- From: Arizona (USA) (Full Remote)
- Full time
Utilization ManagementClinical NursingManaged CareMedical Record Management
Utilization Review Nurse – LTSS (Contract-to-Perm) - REMOTE
Utilization Review Nurse – LTSS (Contract-to-Perm) - REMOTE
27 day ago
Morgan Stephens
- 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)
- Freelance
Utilization ManagementNurse Licensure CompactClinical Documentation
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
11 day ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
InterQual CriteriaMedical Necessity
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementProject ManagementClinical Assessments
Utilization Management Nurse – Behavioral Health Focus (Remote)
Utilization Management Nurse – Behavioral Health Focus (Remote)
30+ days ago
Morgan Stephens
- From: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), New York (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthNurse Licensure Compact
Supervisor Utilization Management Review
Supervisor Utilization Management Review
11 day ago
AmeriHealth Caritas
- From: Pennsylvania (USA) (Full Remote)
- Full time
InterQual CriteriaUtilization ManagementManaged Care
Clinical Appeal Nurse - Remote $10K Sign on Bonus
Clinical Appeal Nurse - Remote $10K Sign on Bonus
16 day ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
Clinical Data AnalysisInterQual CriteriaMedical Necessity
Full-Time RN Case Manager (UR Focused) | Texas
Full-Time RN Case Manager (UR Focused) | Texas
30+ days ago
Beam Healthcare
- From: Texas (USA) (Full Remote)
- Full time
Care CoordinationCare ManagementDischarge PlanningUtilization Management
Clinical Denial Management Specialist RN - Remote $10K sign on bonus
Clinical Denial Management Specialist RN - Remote $10K sign on bonus
15 day ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
AppealsInterQual CriteriaMedical Necessity
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
Utilization review Nurse
Utilization review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare Coordination
Medical Review Nurse II - SNF/MDS
Medical Review Nurse II - SNF/MDS
17 day ago
Performant Corp
- From: United States (Full Remote)
- Full time
CppunitICD 503Clinical Assessments
DRG Revenue Integrity Auditor
DRG Revenue Integrity Auditor
16 day ago
CorroHealth
- From: United States (Full Remote)
- Full time
Diagnosis-Related GroupICD 503Clinical DocumentationHuman Interface Guidelines
Medical Review Nurse II - Readmissions
Medical Review Nurse II - Readmissions
30+ days ago
Performant Corp
- From: United States (Full Remote)
- Full time
ICD Coding (ICD-9/ICD-10)CPT CodingClinical Auditing
Medical Review Nurse II - Readmissions
Medical Review Nurse II - Readmissions
30+ days ago
Performant Corp
- From: United States (Full Remote)
- Full time
ICD Coding (ICD-9/ICD-10)CPT CodingClinical Auditing
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
Supervisor, Clinical Review Mountain and Pacific Time Zones
Supervisor, Clinical Review Mountain and Pacific Time Zones
30+ days ago
Comagine Health
- From: United States (Full Remote)
- Senior (5-10 years)
- 81 - 113K
Clinical Data Analysis
Supervisor, Clinical Review Mountain and Pacific Time Zones
Supervisor, Clinical Review Mountain and Pacific Time Zones
30+ days ago
Comagine Health
- From: United States (Full Remote)
- Full time
Medical Management
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Discharge PlanningCare CoordinationClinical Assessments
Medical Review Nurse (RN)
Medical Review Nurse (RN)
30+ days ago
ICONMA
- From: United States (Full Remote)
- Full time
InterQual CriteriaClinical AssessmentsPrior AuthorizationMedical Abbreviations
Physician Advisor
Physician Advisor
30+ days ago
Med-Metrix
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Patient SafetyUtilization Management
Utilization Management Nurse
Utilization Management Nurse
30+ days ago
ProgenyHealth, LLC
- From: United States (Full Remote)
- Full time
Discharge PlanningNursingClinical Assessments
