Remote Medical Necessity Jobs
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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
120 jobs
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Independent Medical Review Opportunity for Physical Medicine and Rehabilitation
Independent Medical Review Opportunity for Physical Medicine and Rehabilitation
6 days ago
Dane Street, LLC
- From: Nevada (USA) (Full Remote)
- Fixed term
Physical Medicine And RehabilitationMedical Necessity
Genetic Counselor Reviewer
Genetic Counselor Reviewer
7 days ago
Elevance Health
- From: Tennessee (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementGenetic CounselingMedical Necessity
Board Certified - Texas Licensed Physician Reviewers- Pediatric Nephrology
Board Certified - Texas Licensed Physician Reviewers- Pediatric Nephrology
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
NephrologyMedical Licensing (Health Law)
Board Certified - Texas Licensed Physician Reviewers- Otolaryngology
Board Certified - Texas Licensed Physician Reviewers- Otolaryngology
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
OtolaryngologyMedical Licensing (Health Law)
Board Certified - Texas Licensed Physician Reviewers- Allergy-Immunology
Board Certified - Texas Licensed Physician Reviewers- Allergy-Immunology
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
Medical Licensing (Health Law)
Board Certified - Texas Licensed Physician Reviewers- Nephrology
Board Certified - Texas Licensed Physician Reviewers- Nephrology
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
- Expert & Leadership (>10 years)
NephrologyMedical Licensing (Health Law)
Board Certified - Licensed Physician Reviewers -Medical Oncology (MA,VA License)
Board Certified - Licensed Physician Reviewers -Medical Oncology (MA,VA License)
5 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Medical Licensing (Health Law)Medical Oncology
Board Certified - Texas Licensed Physician Reviewers- Pediatric Rheumatology
Board Certified - Texas Licensed Physician Reviewers- Pediatric Rheumatology
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
RheumatologyMedical Licensing (Health Law)
Texas Licensed Physician Reviewers- Developmental-Behavioral Pediatrics
Texas Licensed Physician Reviewers- Developmental-Behavioral Pediatrics
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
Medical Licensing (Health Law)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
1 day ago
NeueHealth
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Prior AuthorizationMedical NecessityClinical Consulting
Nurse Reviewer I
Nurse Reviewer I
Today
Elevance Health
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementClinical NursingMedical Necessity
Behavioral Therapist Assistant
Behavioral Therapist Assistant
7 days ago
BruntWork
- From: New York (USA) (Full Remote)
- Full time
ABA InterventionPrior AuthorizationClinical Documentation
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
8 days ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisAuthorization (Computing)Regulatory ComplianceMedical Necessity
Board Certified - Texas Licensed Physician Reviewers- Otolaryngology
Board Certified - Texas Licensed Physician Reviewers- Otolaryngology
6 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
OtolaryngologyMedical Licensing (Health Law)
Behavioral Health Utilization Management Care Coordinator (LCSW/LPC/LMFT/RN) - Remote in VA and NC
Behavioral Health Utilization Management Care Coordinator (LCSW/LPC/LMFT/RN) - Remote in VA and NC
8 days ago
Sentara Healthcare
- From: North Carolina (USA), Virginia (USA) (Full Remote)
- Full time
Clinical Data AnalysisCare ManagementBehavioral HealthCare Coordination
Board Certified - Texas Licensed Physician Reviewers- Pediatric Dermatology
Board Certified - Texas Licensed Physician Reviewers- Pediatric Dermatology
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
Medical Licensing (Health Law)
Board Certified - Texas Licensed Physician Reviewers- Infectious Disease
Board Certified - Texas Licensed Physician Reviewers- Infectious Disease
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
Medical Licensing (Health Law)
Quality Assurance Specialist
Quality Assurance Specialist
2 days ago
Adapt Health LLC
- From: Washington (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Medflow EMRMedicare
Behavioral Health Utilization Management Clinician - Remote VA and NC
Behavioral Health Utilization Management Clinician - Remote VA and NC
13 days ago
Sentara Healthcare
- From: North Carolina (USA), Virginia (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementBehavioral HealthSubstance Dependence
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
UM Prior Authorization Nurse, LVN/LPN (Work from Home)
1 day ago
Bright Health
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Regulatory CompliancePrior AuthorizationMedical NecessityClinical Consulting
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
9 days ago
Centene Corporation
- From: New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisAuthorization (Computing)Regulatory ComplianceMedical Necessity
Texas Licensed Physician Reviewers- Otolaryngology & Plastic Surgery
Texas Licensed Physician Reviewers- Otolaryngology & Plastic Surgery
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
OtolaryngologyPlastic SurgeryMedical Licensing (Health Law)
Board Certified - Texas Licensed Physician Reviewers- Sleep Medicine
Board Certified - Texas Licensed Physician Reviewers- Sleep Medicine
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
Medical Licensing (Health Law)
Supervisor, Behavioral Health Utilization Management
Supervisor, Behavioral Health Utilization Management
14 days ago
Centene Corporation
- From: Florida (USA), Minnesota (USA), Missouri (USA), Tennessee (USA), Texas (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical MedicineBehavioral HealthRegulatory Compliance
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
1 day ago
Centene Corporation
- From: Ohio (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementMedical NecessityCare Coordination
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
9 days ago
Centene Corporation
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementNurse Licensure CompactMedical Necessity
Board Certified - Texas Licensed Physician Reviewers-Clinical Geneticist
Board Certified - Texas Licensed Physician Reviewers-Clinical Geneticist
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
Medical Licensing (Health Law)
New York Licensed Physician Reviewer - Neurology
New York Licensed Physician Reviewer - Neurology
14 days ago
Dane Street, LLC
- From: New York (USA) (Full Remote)
- Fixed term
Medical Licensing (Health Law)Neurology
Physician
Physician
7 days ago
Centurion Health
- From: United States, Harrisburg (Hybrid)
- Part time
Drug Enforcement AgencyMedical Licensing (Health Law)
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
Sidecar Health
- From: Florida (USA), Georgia (USA), Kentucky (USA), Ohio (USA) (Full Remote)
- Full time
Utilization ManagementMedical GuidelineNursingMedical Necessity
Surgical Case Reviewer: Certified Coder (F/T) - Remote
Surgical Case Reviewer: Certified Coder (F/T) - Remote
30+ days ago
Optim Health System
- From: Georgia (USA) (Full Remote)
- Full time
Surgical PathologyMedical Necessity
Claims Review Gastroenterologist
Claims Review Gastroenterologist
30+ days ago
Capitol Bridge
- From: Virginia (USA) (Full Remote)
- Full time
Insurance ReviewsChronic CareMedical NecessityGastroenterology
PB Diagnostic Coder (Coding Specialist lll)
PB Diagnostic Coder (Coding Specialist lll)
30+ days ago
Oregon Health & Science University
- From: Oregon (USA) (Full Remote)
- Full time
ICD 503CppunitClinical Documentation
Board Certified - Texas Licensed Physician Reviewers- Optometry
Board Certified - Texas Licensed Physician Reviewers- Optometry
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
Medical Licensing (Health Law)
Clinical Appeals Specialist RN
Clinical Appeals Specialist RN
21 days ago
EvergreenHealth
- From: Washington (USA) (Full Remote)
- Full time
CounterclaimsNursingMedical NecessityClinical Consulting
Outpatient Coding Team Lead
Outpatient Coding Team Lead
27 days ago
University of Maryland Medical System
- From: Maryland (USA) (Full Remote)
- Full time
Outpatient CodingICD 503Cppunit
Peer Reviewer - Physical Medicine & Rehabilitation (Contract Remote)
Peer Reviewer - Physical Medicine & Rehabilitation (Contract Remote)
30+ days ago
Mountain Pacific
- From: Montana (USA) (Full Remote)
- Freelance
Evaluation Of CareHealthcare QualityMedical Necessity
Healthcare - Care Review Clinician I
Healthcare - Care Review Clinician I
14 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
XTN-2ECE992 | CLINICAL-TEAM MEMBER
XTN-2ECE992 | CLINICAL-TEAM MEMBER
10 days ago
KMC Solutions
- From: Philippines (Full Remote)
- Full time
AthenaClinicals EHRPrivileged Access ManagementMedical Abbreviations
Peer Reviewer - Interventional Cardiology (Contract Remote)
Peer Reviewer - Interventional Cardiology (Contract Remote)
30+ days ago
Mountain Pacific
- From: Montana (USA) (Full Remote)
- Freelance
Cardiology
Ops-UM Training Specialist
Ops-UM Training Specialist
22 days ago
Integra Partners
- From: Arizona (USA), Colorado (USA), Connecticut (USA), Florida (USA), Georgia (USA), Idaho (USA), Illinois (USA), Kentucky (USA), Massachusetts (USA), Michigan (USA), New Jersey (USA), New York (USA), North Carolina (USA), Ohio (USA), Pennsylvania (USA) (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceClinical Documentation
Louisiana Licensed Physician Reviewer - Neurological Surgery
Louisiana Licensed Physician Reviewer - Neurological Surgery
26 days ago
Dane Street, LLC
- From: Louisiana (USA) (Full Remote)
- Fixed term
NeurosurgeryMedical Licensing (Health Law)
Board Certified - Texas Licensed Physician Reviewers- Pediatric Pulmonology
Board Certified - Texas Licensed Physician Reviewers- Pediatric Pulmonology
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
PulmonologyMedical Licensing (Health Law)
Board Certified - New Mexico Licensed Physician Reviewers - Endocrinology
Board Certified - New Mexico Licensed Physician Reviewers - Endocrinology
30+ days ago
Dane Street, LLC
- From: New Mexico (USA) (Full Remote)
- Freelance
Endocrine Diseases And Disorders
Quality Improvement Coordinator - Behavioral Health
Quality Improvement Coordinator - Behavioral Health
30+ days ago
Centene Corporation
- From: Washington (USA) (Full Remote)
- Full time
Behavioral HealthClinical NursingQuality AssessmentTotal Quality Management
Board Certified - Texas Licensed Physician Reviewers- Pediatric Cardiology
Board Certified - Texas Licensed Physician Reviewers- Pediatric Cardiology
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
CardiologyMedical Licensing (Health Law)Medical Necessity
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
Board Certified - Texas Licensed Physician Reviewers- Pediatric Endocrinology
Board Certified - Texas Licensed Physician Reviewers- Pediatric Endocrinology
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
Endocrine Diseases And DisordersMedical Licensing (Health Law)
Board Certified - New Mexico Licensed Physician Reviewers - Rheumatology
Board Certified - New Mexico Licensed Physician Reviewers - Rheumatology
13 days ago
Dane Street, LLC
- From: New Mexico (USA) (Full Remote)
- Freelance
Medical Licensing (Health Law)RheumatologyMedical Necessity
Peer Reviewer - Diagnostic & Interventional Radiologist (Contract Remote)
Peer Reviewer - Diagnostic & Interventional Radiologist (Contract Remote)
30+ days ago
Mountain Pacific
- From: Montana (USA) (Full Remote)
- Freelance
RadiologyRadiologyMedical Necessity
