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
94 jobs
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Ops-UM Training Specialist
Ops-UM Training Specialist
1 day 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
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
Today
Centene Corporation
- From: Florida (USA), Iowa (USA), North Carolina (USA) (Full Remote)
- Full time
Utilization ManagementHospital ExperienceCase Management Systems
RN Case Manager - Utilization Review
RN Case Manager - Utilization Review
Today
OU Health
- From: United States (Full Remote)
- Full time
Utilization ManagementMedical JurisprudenceClinical Assessments
RCM Specialist - Prior Authorization (Behavioral Health/Psychiatry)
RCM Specialist - Prior Authorization (Behavioral Health/Psychiatry)
1 day ago
2070 Health
- From: India (Full Remote)
- Full time
Behavioral HealthMedflow EMRPrior AuthorizationClinical Documentation
OBRA PASRR Evaluator
OBRA PASRR Evaluator
2 days ago
Detroit Wayne Integrated Health Network
- From: Michigan (USA) (Full Remote)
- Full time
Mental Health AssessmentsAdvanced AnalyticsTreatment PlanningClinical Assessments
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
7 days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
Utilization ManagementNurse Licensure CompactMedical Necessity
Outpatient Coding Team Lead
Outpatient Coding Team Lead
7 days ago
University of Maryland Medical System
- From: Maryland (USA) (Full Remote)
- Full time
Outpatient CodingICD 503Cppunit
Louisiana Licensed Physician Reviewer - Neurological Surgery
Louisiana Licensed Physician Reviewer - Neurological Surgery
6 days ago
Dane Street, LLC
- From: Louisiana (USA) (Full Remote)
- Fixed term
NeurosurgeryMedical Licensing (Health Law)
Managed Care Coordinator I (South Carolina)
Managed Care Coordinator I (South Carolina)
1 day ago
BlueCross BlueShield of South Carolina
- From: South Carolina (USA) (Full Remote)
- Full time
Patient Education And CounselingClaims And Litigation ManagementMedical NecessityClinical Consulting
Surgical Case Reviewer: Certified Coder (F/T) - Remote
Surgical Case Reviewer: Certified Coder (F/T) - Remote
13 days ago
Optim Health System
- From: Georgia (USA) (Full Remote)
- Full time
Surgical PathologyMedical Necessity
Claims Review Gastroenterologist
Claims Review Gastroenterologist
19 days ago
Capitol Bridge
- From: Virginia (USA) (Full Remote)
- Full time
Insurance ReviewsChronic CareMedical NecessityGastroenterology
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
7 days ago
Centene Corporation
- From: Arizona (USA) (Full Remote)
- Full time
Discharge PlanningUtilization ManagementMedical Necessity
Utilization Review, RN
Utilization Review, RN
19 days ago
MedCost LLC
- From: North Carolina (USA) (Full Remote)
- Full time
Utilization ManagementMedical NecessityClinical Documentation
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
Managed Care Coordinator I
Managed Care Coordinator I
6 days ago
BlueCross BlueShield of South Carolina
- From: South Carolina (USA) (Full Remote)
- Full time
Patient Education And CounselingClaims And Litigation ManagementMedical NecessityClinical Consulting
RC Appellate Clinician - Remote $10K Sign on Bonus
RC Appellate Clinician - Remote $10K Sign on Bonus
30+ days ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
InterQual CriteriaMedical 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
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
Peer Reviewer - Interventional Cardiology (Contract Remote)
Peer Reviewer - Interventional Cardiology (Contract Remote)
30+ days ago
Mountain Pacific
- From: Montana (USA) (Full Remote)
- Freelance
Cardiology
Peer Reviewer - Diagnostic & Interventional Radiologist (Contract Remote)
Peer Reviewer - Diagnostic & Interventional Radiologist (Contract Remote)
19 days ago
Mountain Pacific
- From: Montana (USA) (Full Remote)
- Freelance
RadiologyRadiologyMedical Necessity
Revenue Cycle Specialist
Revenue Cycle Specialist
30+ days ago
Baptist Health System KY & IN
- From: Indiana (USA) (Full Remote)
- Full time
Debt ComplianceRevenue ManagementMedical Necessity
Board Certified - New Mexico Licensed Physician Reviewers - Endocrinology
Board Certified - New Mexico Licensed Physician Reviewers - Endocrinology
28 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
Louisiana Licensed Physician Reviewer - Orthopedic Surgery-Spine
Louisiana Licensed Physician Reviewer - Orthopedic Surgery-Spine
6 days ago
Dane Street, LLC
- From: Louisiana (USA) (Full Remote)
- Fixed term
Spinal FusionClinical InformaticsMedical NecessityOrthopedics
Claims Review Cardiologist
Claims Review Cardiologist
19 days ago
Capitol Bridge
- From: Virginia (USA) (Full Remote)
- Full time
Insurance ReviewsCardiologyMedical NecessityChronic Care
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
Claims Review Oncologist
Claims Review Oncologist
19 days ago
Capitol Bridge
- From: Virginia (USA) (Full Remote)
- Full time
OncologyInsurance ReviewsChronic CareMedical Necessity
Emergency Medicine Telecommute Medical Review Stream Physician
Emergency Medicine Telecommute Medical Review Stream Physician
30+ days ago
Concentra
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Expert Demo Specialist - Hospital Financials & Clinicals / Remote
Expert Demo Specialist - Hospital Financials & Clinicals / Remote
25 days ago
Altera Digital Health
- From: Illinois (USA) (Full Remote)
- Full time
Revenue ManagementClinical Data ManagementMedicareExperimental Software Engineering
Peer Reviewer - Surgeon (Contract Remote)
Peer Reviewer - Surgeon (Contract Remote)
30+ days ago
Mountain Pacific
- From: Montana (USA) (Full Remote)
- Freelance
Evaluation Of CareGeneral SurgeryHealthcare QualityMedical Necessity
Complex Claims Clinical Reviewer
Complex Claims Clinical Reviewer
19 days ago
Vaya Health
- From: Seychelles, Republic of Moldova, Gabon, Tunisia (Full Remote)
- Full time
Inpatient CodingICD Coding (ICD-9/ICD-10)Diagnosis-Related GroupClinical Documentation
Peer Reviewer (Contract Remote)
Peer Reviewer (Contract Remote)
30+ days ago
Mountain Pacific
- From: Montana (USA) (Full Remote)
- Freelance
UM Prior Authorization Nurse, RN (Work from home)
UM Prior Authorization Nurse, RN (Work from home)
16 days ago
Bright Health
- From: California (USA) (Full Remote)
- Full time
Authentication ServersUtilization ManagementMedical NecessityClinical Consulting
Claims Review Psychiatrist
Claims Review Psychiatrist
19 days ago
Capitol Bridge
- From: Virginia (USA) (Full Remote)
- Full time
Chronic Care
Claims Review Diagnostic Radiologist
Claims Review Diagnostic Radiologist
19 days ago
Capitol Bridge
- From: Virginia (USA) (Full Remote)
- Full time
Insurance ReviewsRadiologyMedical NecessityChronic Care
Care Coordinator - Behavioral Health RN
Care Coordinator - Behavioral Health RN
30+ days ago
Premera Blue Cross
- From: Alaska (USA), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Maine (USA), Michigan (USA), Minnesota (USA), Missouri (USA) (Full Remote)
- Full time
Behavioral HealthClinical MedicineMedical Necessity
LPN – Utilization Management (Shift Care Team)
LPN – Utilization Management (Shift Care Team)
30+ days ago
The CKHobbie Group
- From: Pennsylvania (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementPediatric NursingCompliance Management
Claims Review Pediatrician
Claims Review Pediatrician
19 days ago
Capitol Bridge
- From: Virginia (USA) (Full Remote)
- Full time
Insurance ReviewsChronic CareMedical Licensing (Health Law)Medical Necessity
Peer Reviewer - Nephrologist (Contract Remote)
Peer Reviewer - Nephrologist (Contract Remote)
30+ days ago
Mountain Pacific
- From: Montana (USA) (Full Remote)
- Freelance
Nephrology
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
30+ days ago
Dane Street, LLC
- From: New York (USA) (Full Remote)
- Fixed term
Utilization ManagementWorkers' Compensation ClaimsMedical NecessityOrthopedics
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
30+ days ago
Dane Street, LLC
- From: New York (USA) (Full Remote)
- Freelance
Utilization ManagementWorkers' Compensation ClaimsMedical NecessityOrthopedics
Board Certified OB/GYN-Obstetrics and Gynecology Physician Advisor, Disability
Board Certified OB/GYN-Obstetrics and Gynecology Physician Advisor, Disability
30+ days ago
Dane Street, LLC
- From: California (USA) (Full Remote)
- Freelance
Obstetrics And GynaecologyObstetrics And GynaecologyMedical Necessity
Orthopedic Surgery - Spine Surgeon - NV
Orthopedic Surgery - Spine Surgeon - NV
30+ days ago
Dane Street, LLC
- From: Nevada (USA) (Full Remote)
- Fixed term
Medical NecessityClinical Consulting
Patient Access Representative - Call Center - Outpatient Therapy Scheduling - Remote*
Patient Access Representative - Call Center - Outpatient Therapy Scheduling - Remote*
1 day ago
Memorial Hermann Health System
- From: United States (Full Remote)
- Full time
Financial Aid CounselingMedical Necessity
Spine Telecommute Medical Review Stream
Spine Telecommute Medical Review Stream
30+ days ago
Concentra
- From: California (USA) (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Physician Reviewer - (Ophthalmology, Otolaryngology, OB/GYN)
Physician Reviewer - (Ophthalmology, Otolaryngology, OB/GYN)
30+ days ago
Dane Street, LLC
- From: North Carolina (USA) (Full Remote)
- Freelance
Insurance ReviewsMedical NecessityClinical Consulting
Independent Contractor-Hospital RN (Appeal Writing/Denials Mgmt) (Remote)
Independent Contractor-Hospital RN (Appeal Writing/Denials Mgmt) (Remote)
7 days ago
CorroHealth
- From: United States (Full Remote)
- Part time
Utilization ManagementClinical MedicineCare ManagementMedical Necessity
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
30+ days ago
Concentra
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Kentucky Licensed Reviewers - Psychology
Kentucky Licensed Reviewers - Psychology
26 days ago
Dane Street, LLC
- From: Kentucky (USA) (Full Remote)
- Freelance
PsychologyMedical Licensing (Health Law)
Nurse Reviewer - REMOTE
Nurse Reviewer - REMOTE
30+ days ago
UMass Chan Medical School
- From: Massachusetts (USA) (Full Remote)
- Full time
Clinical Data AnalysisCare ManagementPrior AuthorizationMedical Necessity
