Remote Medical Necessity 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
177 jobs
Sort by:
Physical Health Inpatient Clinical Care Reviewer II
Physical Health Inpatient Clinical Care Reviewer II
Today
CareSource
- From: Nevada (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisDischarge PlanningUtilization ManagementCare Coordination
Medical Management Clinician Associate
Medical Management Clinician Associate
1 day ago
Elevance Health
- From: New York (USA) (Full Remote)
- Full time
- Junior (1-2 years)
Utilization ManagementMedical NecessityMedical Licensing (Health Law)Clinical Assessments
Physical Health RN Clinical Care Reviewer II
Physical Health RN Clinical Care Reviewer II
1 day ago
CareSource
- From: Nevada (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization ManagementNurse Registry
Revenue Cycle Specialist
Revenue Cycle Specialist
1 day ago
Baptist Health System KY & IN
- From: Kentucky (USA) (Full Remote)
- Full time
- Entry-level / graduate
Debt ComplianceRevenue ManagementMedical Necessity
Board Certified Internal Medicine/Pain Management Physician Advisor,
Board Certified Internal Medicine/Pain Management Physician Advisor,
1 day ago
Dane Street, LLC
- From: California (USA) (Full Remote)
- Freelance
Pain ManagementMedical NecessityInternal MedicineClinical Documentation
Utilization Review Nurse
Utilization Review Nurse
1 day ago
Sidecar Health
- From: Florida (USA), Georgia (USA), Kentucky (USA), Ohio (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementMilliman Care Guidelines (MCG)Clinical InformaticsMedical Necessity
Physician Reviewer - Orthopedic Surgery (Utilization Review) TX
Physician Reviewer - Orthopedic Surgery (Utilization Review) TX
1 day ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Fixed term
Medical Licensing (Health Law)Orthopedics
RCM Specialist - Prior Authorization (Behavioral Health/Psychiatry)
RCM Specialist - Prior Authorization (Behavioral Health/Psychiatry)
7 days ago
Xponentiate
- From: India (Full Remote)
- Full time
- Senior (5-10 years)
Behavioral HealthClinical DocumentationPrior AuthorizationEmergency Psychiatry
Physician Reviewer - Orthopedic Surgery (Utilization Review) TX
Physician Reviewer - Orthopedic Surgery (Utilization Review) TX
7 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Fixed term
Medical Licensing (Health Law)Orthopedics
Medical Director
Medical Director
10 days ago
Impresiv Health
- From: Oregon (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Evidence-Based PracticeUtilization ManagementInpatient CareMedical Necessity
Remote Medical Case & Peer Reviewers (RNs & Certified Healthcare Professionals – 1099)
Remote Medical Case & Peer Reviewers (RNs & Certified Healthcare Professionals – 1099)
1 day ago
LivantaLLC
- From: United States (Full Remote)
- Freelance
- Senior (5-10 years)
Clinical Data AnalysisNurse Licensure CompactEvidence Analysis
Board-Certified Neurological Surgeon - Independent Medical Reviewer (Remote, Ill
Board-Certified Neurological Surgeon - Independent Medical Reviewer (Remote, Ill
10 days ago
Dane Street, LLC
- From: Illinois (USA) (Full Remote)
- Fixed term
Neurosurgery
UM Prior Authorization Nurse, RN (Work from Home)
UM Prior Authorization Nurse, RN (Work from Home)
2 days ago
NeueHealth
- From: North America (Full Remote)
- Full time
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
UM Prior Authorization Nurse, RN (Work from Home)
UM Prior Authorization Nurse, RN (Work from Home)
2 days ago
NeueHealth
- From: North America (Full Remote)
- Full time
Utilization ManagementPrior AuthorizationMedical NecessityClinical Consulting
Clinical Review Nurse Prior Authorization
Clinical Review Nurse Prior Authorization
1 day ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Clinical Data AnalysisUtilization ManagementMedical NecessityRegulatory Compliance
Board Certified - Texas Licensed Physician Reviewers- Pediatric Nephrology
Board Certified - Texas Licensed Physician Reviewers- Pediatric Nephrology
30+ days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
NephrologyMedical Licensing (Health Law)
Licensed Reviewers - Board Certified Behavioral Analyst
Licensed Reviewers - Board Certified Behavioral Analyst
1 day ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Board Certified - Texas Licensed Physician Reviewers- Otolaryngology
Board Certified - Texas Licensed Physician Reviewers- Otolaryngology
30+ days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
OtolaryngologyMedical Licensing (Health Law)
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
CQE Manager IRehab ServicesPhysical Therapy (Remote)
CQE Manager IRehab ServicesPhysical Therapy (Remote)
1 day ago
EmergeCore Networks
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Evidence-Based PracticeClinical InformaticsMedical NecessityPhysical Therapy
Utilization Review Nurse
Utilization Review Nurse
2 days ago
Sidecar Health
- From: North America (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementMilliman Care Guidelines (MCG)Clinical InformaticsMedical Necessity
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
Outpatient Coding Team Lead
Outpatient Coding Team Lead
30+ days ago
University of Maryland Medical System
- From: Maryland (USA) (Full Remote)
- Full time
Outpatient CodingICD 503Cppunit
Revenue Cycle Specialist
Revenue Cycle Specialist
30+ days ago
Baptist Health System KY & IN
- From: Indiana (USA), Kentucky (USA) (Full Remote)
- Full time
- Entry-level / graduate
Debt ComplianceRevenue ManagementMedical Necessity
Revenue Cycle Specialist
Revenue Cycle Specialist
30 days ago
Baptist Health System KY & IN
- From: Indiana (USA), Kentucky (USA) (Full Remote)
- Full time
- Entry-level / graduate
Debt ComplianceRevenue ManagementMedical Necessity
Clinical Appeals Coordinator
Clinical Appeals Coordinator
13 days ago
Centene Corporation
- From: Oregon (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementMedical Necessity
RN - Senior Clinical Documentation Specialist - Utilization Management
RN - Senior Clinical Documentation Specialist - Utilization Management
1 day ago
Sanford Health
- From: United States, Bemidji (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Documentation
Louisiana Licensed Physician Reviewer - Neurological Surgery
Louisiana Licensed Physician Reviewer - Neurological Surgery
30+ days ago
Dane Street, LLC
- From: Louisiana (USA) (Full Remote)
- Fixed term
NeurosurgeryMedical Licensing (Health Law)
Board Certified Gastroenterology, Dual board Internal Medicine Physician Advisor
Board Certified Gastroenterology, Dual board Internal Medicine Physician Advisor
1 day ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Patient EvaluationClinical AssessmentsInternal MedicineGastroenterology
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
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
14 days ago
Centene Corporation
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Discharge PlanningNurse Licensure CompactMedical Necessity
Board Certified Forensic Pathology Physician Advisor, Disability Peer Review
Board Certified Forensic Pathology Physician Advisor, Disability Peer Review
1 day ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Forensic PathologyMedical GuidelineClinical Assessments
Board Certified Internal Medicine/Pain Management Physician Advisor,
Board Certified Internal Medicine/Pain Management Physician Advisor,
7 days ago
Dane Street, LLC
- From: California (USA) (Full Remote)
- Freelance
Pain ManagementInternal MedicineClinical Documentation
RCM Specialist - Prior Authorization (Behavioral Health/Psychiatry)
RCM Specialist - Prior Authorization (Behavioral Health/Psychiatry)
1 day ago
Xponentiate
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Behavioral HealthClinical DocumentationPrior AuthorizationEmergency Psychiatry
Board Certified - Texas Licensed Physician Reviewers- Allergy-Immunology
Board Certified - Texas Licensed Physician Reviewers- Allergy-Immunology
30+ days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
Medical Licensing (Health Law)
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- Nephrology
Board Certified - Texas Licensed Physician Reviewers- Nephrology
30+ days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
- Expert & Leadership (>10 years)
NephrologyMedical Licensing (Health Law)
Physician Advisor (Administrative Role)
Physician Advisor (Administrative Role)
1 day ago
MASC Medical Recruitment Firm
- From: United States, Boynton Beach (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementRegulatory ComplianceGood Documentation PracticesClinical Consulting
Board Certified - Texas Licensed Physician Reviewers- Pediatric Rheumatology
Board Certified - Texas Licensed Physician Reviewers- Pediatric Rheumatology
30+ days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
RheumatologyMedical Licensing (Health Law)
Behavioral Health Medical Director
Behavioral Health Medical Director
1 day ago
Empower Healthcare Solutions
- From: United States, Little Rock (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementBehavioral HealthPolicy DevelopmentClinical Auditing
Ops-UM Training Specialist
Ops-UM Training Specialist
30+ 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
Expert Demo Specialist - Hospital Financials & Clinicals / Remote
Expert Demo Specialist - Hospital Financials & Clinicals / Remote
14 days ago
Altera Digital Health
- From: Missouri (USA) (Full Remote)
- Full time
- Expert & Leadership (>10 years)
Revenue ManagementClinical Data ManagementMedicareExperimental Software Engineering
Expert Demo Specialist - Hospital Financials & Clinicals / Remote
Expert Demo Specialist - Hospital Financials & Clinicals / Remote
30+ days ago
Altera Digital Health
- From: Illinois (USA) (Full Remote)
- Full time
Revenue ManagementClinical Data ManagementMedicareExperimental Software Engineering
Texas Licensed Physician Reviewers- Developmental-Behavioral Pediatrics
Texas Licensed Physician Reviewers- Developmental-Behavioral Pediatrics
30+ days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Freelance
Medical Licensing (Health Law)
Board Certified Endocrinologist Physician Advisor, Disability Peer Review
Board Certified Endocrinologist Physician Advisor, Disability Peer Review
1 day ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Clinical Data AnalysisMedical Necessity
Utilization Review Health Care Professional (PT, LVN, LPN) - REMOTE
Utilization Review Health Care Professional (PT, LVN, LPN) - REMOTE
1 day ago
EK Health Services Inc.
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementHealth AssessmentMedical Necessity
HIM PB Coding Specialist 2
HIM PB Coding Specialist 2
9 days ago
St. Charles Health System
- From: Arizona (USA), Arkansas (USA), Florida (USA), Idaho (USA), Missouri (USA), Montana (USA), Nevada (USA), New Mexico (USA), North Carolina (USA), Oklahoma (USA), Oregon (USA), Tennessee (USA), Utah (USA), Wisconsin (USA) (Full Remote)
- Full time
- Entry-level / graduate
Health Information ManagementICD 503CppunitMedical Coding
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
Revenue Cycle Specialist
Revenue Cycle Specialist
29 days ago
Baptist Health System KY & IN
- From: Indiana (USA), Kentucky (USA) (Full Remote)
- Full time
Revenue ManagementPrior AuthorizationMedical Necessity
Clinical Appeals Coordinator
Clinical Appeals Coordinator
14 days ago
Centene Corporation
- From: Oregon (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementMedical Necessity
