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
95 jobs
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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
RN Reviewer 
RN Reviewer
30+ days ago
Cohere Health
- From: United States (Full Remote)
- Mid-level (2-5 years)
- 28 - 28K
Utilization ManagementNursing
Board Certified - Washington Licensed Physician Reviewers - Endocrinology
Board Certified - Washington Licensed Physician Reviewers - Endocrinology
30+ days ago
Dane Street, LLC
- From: Washington (USA) (Full Remote)
- Freelance
Endocrine Diseases And Disorders
Physician Reviewer, Neurological Surgery - NV
Physician Reviewer, Neurological Surgery - NV
30+ days ago
Dane Street, LLC
- From: Nevada (USA) (Full Remote)
- Fixed term
Utilization ManagementAdvisory CircularMedical NecessityClinical Consulting
Clinical Denial Management Specialist RN - Remote $10K sign on bonus
Clinical Denial Management Specialist RN - Remote $10K sign on bonus
30+ days ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
AppealsInterQual CriteriaMedical Necessity
SAF/IS Regional Program Specialist - Reserve
SAF/IS Regional Program Specialist - Reserve
26 days ago
American Red Cross
- From: Djibouti, Kuwait, Republic of Lithuania, Bulgaria, Poland, Romania (Full Remote)
- Full time
Emergency Communication SystemsVolunteer ManagementDeployment Project
Clinical Review Registered Nurse
Clinical Review Registered Nurse
30+ days ago
Strategic Staffing Solutions
- From: Vermont (USA) (Full Remote)
- Freelance
Evidence-Based PracticeUtilization ManagementMedical NecessityClinical Assessments
Board Certified - Licensed Physician Reviewers-Neurological Surgery
Board Certified - Licensed Physician Reviewers-Neurological Surgery
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
NeurosurgeryMedical Licensing (Health Law)
Board Certified Pathology Physician Advisor, Disability Peer Review
Board Certified Pathology Physician Advisor, Disability Peer Review
22 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Utilization ManagementPathologyMedical NecessityMedical Testing
Patient Access Representative - Call Center - Outpatient Therapy Scheduling - Remote*
Patient Access Representative - Call Center - Outpatient Therapy Scheduling - Remote*
3 days ago
Memorial Hermann Health System
- From: United States (Full Remote)
- Full time
Financial Aid CounselingMedical Necessity
REMOTE Registered Nurse - Medical Review Specialist-Bexar County, Texas
REMOTE Registered Nurse - Medical Review Specialist-Bexar County, Texas
30+ days ago
Avosys Technology, Inc.
- From: United States, Texas (USA) (Full Remote)
- Freelance
- Mid-level (2-5 years)
Internal Documentation
Pre-Authorization Registered Nurse
Pre-Authorization Registered Nurse
30+ days ago
Conviva Care Solutions
- From: United States, Laos, Louisiana (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 37 - 87K
Medical NecessityUtilization ManagementNursing
Associate Medical Director
Associate Medical Director
30+ days ago
Lifelancer
- From: United States, North Carolina (USA) (Full Remote)
- Full time
- Senior (5-10 years)
- 146 - 278K
Clinical ConsultingBusiness StrategiesMedical Law
RN Clinical Review Clinician - Appeals
RN Clinical Review Clinician - Appeals
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Utilization ManagementNurse Licensure Compact
Nurse Inpatient Coding Auditor, CIC or CCS certified
Nurse Inpatient Coding Auditor, CIC or CCS certified
30+ days ago
ProgenyHealth, LLC
- From: United States, Texas (USA) (Full Remote)
- Mid-level (2-5 years)
- 19 - 19K
ICD Coding (ICD-9/ICD-10)Medical NecessityInpatient Coding
Corporate Medical Director - Medicare Grievances and Appeals (32-Hours)
Corporate Medical Director - Medicare Grievances and Appeals (32-Hours)
30+ days ago
Humana
- From: United States (Full Remote)
- Full time
Clinical AssessmentsMedical Necessity
Virtual Utilization Review Specialist - PART TIME WEEKENDS
Virtual Utilization Review Specialist - PART TIME WEEKENDS
30+ days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Part time
Utilization ManagementClinical AssessmentsMedical Necessity
PB Coder (Coding Specialist ll)
PB Coder (Coding Specialist ll)
30+ days ago
Oregon Health & Science University
- From: United States, Oregon (USA) (Full Remote)
- 61 - 82K
ICD Coding (ICD-9/ICD-10)CPT Coding
Virtual Utilization Review Specialist - PART TIME WEEKENDS
Virtual Utilization Review Specialist - PART TIME WEEKENDS
30+ days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Part time
Care CoordinationUtilization ManagementClinical AssessmentsMedical Necessity
RN Utilization Management (Relief)
RN Utilization Management (Relief)
29 days ago
St. Charles Health System
- From: United States (Full Remote)
- Part time
Utilization ManagementPatient Progress NotesMedical NecessityProcess Improvement
Board Certified - Licensed Physician Reviewers - Clinical Genetics
Board Certified - Licensed Physician Reviewers - Clinical Genetics
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Medical GeneticsMedical Licensing (Health Law)
Board Certified Toxicology Physician Advisor, Disability Peer Review
Board Certified Toxicology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
ToxicologyClinical Assessments
Associate Medical Director, Diagnostic Imaging
Associate Medical Director, Diagnostic Imaging
30+ days ago
Lifelancer
- From: United States (Full Remote)
- Full time
- Junior (1-2 years)
Evidence-Based PracticeMedical ImagingRadiology
Expert Demo Specialist - Hospital Financials & Clinicals / Remote
Expert Demo Specialist - Hospital Financials & Clinicals / Remote
26 days ago
Altera Digital Health
- From: United States (Full Remote)
- Full time
Revenue ManagementClinical Data ManagementPatient Education And CounselingExperimental Software Engineering
Clinical Appeals Supervisor
Clinical Appeals Supervisor
30+ days ago
R1 RCM
- From: United States (Full Remote)
- Full time
Clinical SupervisionMedical NecessityClinical Documentation
Board Certified - Licensed Physician Reviewers - Dermatology
Board Certified - Licensed Physician Reviewers - Dermatology
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Medical Licensing (Health Law)Dermatology
CQE Manager I-Acupuncture (Remote)
CQE Manager I-Acupuncture (Remote)
30+ days ago
American Specialty Health
- From: United States (Full Remote)
- Full time
AcupunctureMedical Necessity
Medical Director - Physical Medicine and Rehabilitation - EviCore - Remote
Medical Director - Physical Medicine and Rehabilitation - EviCore - Remote
21 days ago
eviCore healthcare
- From: United States (Full Remote)
- Full time
Evidence-Based PracticeMedical NecessityMedical DevicesClinical Assessments
Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology)
Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology)
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Insurance ReviewsMedical NecessityClinical Consulting
Virtual Utilization Review Specialist
Virtual Utilization Review Specialist
30+ days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical NecessityResource Management
Healthcare - Medical Claim Review Nurse
Healthcare - Medical Claim Review Nurse
9 days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementMedical Insurance ClaimsClinical Nursing
Pre-Service Utilization Management LVN
Pre-Service Utilization Management LVN
30+ days ago
CommonSpirit Health
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical InformaticsMedical Necessity
Part-time Pediatric / Family Medicine Medical Director - Florida
Part-time Pediatric / Family Medicine Medical Director - Florida
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Part time
Cost ContainmentUtilization ManagementClinical AssessmentsQuality Assessment
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Fixed term
Utilization ManagementWorkers' Compensation ClaimsMedical NecessityOrthopedics
CQE Manager I-Acupuncture (Remote)
CQE Manager I-Acupuncture (Remote)
30+ days ago
EmergeCore Networks
- From: United States (Full Remote)
- Full time
AcupunctureClinical InformaticsMedical NecessityCredential Manager
Weekend RN Reviewer
Weekend RN Reviewer
21 days ago
Cohere Health
- From: United States (Full Remote)
- Full time
Utilization ManagementNursingClinical Medicine
HIM PB Coding Specialist 2
HIM PB Coding Specialist 2
30+ days ago
St. Charles Health System
- From: United States (Full Remote)
- Full time
ICD 503CppunitHuman Interface GuidelinesHealth Information Management
Virtual Utilization Review Specialist
Virtual Utilization Review Specialist
30 days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical Necessity
Remote Marketplace Medical Director
Remote Marketplace Medical Director
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Physician Reviewer - Psychiatry (Utilization Review)
Physician Reviewer - Psychiatry (Utilization Review)
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Fixed term
Workers' Compensation ClaimsMedical Licensing (Health Law)
Denials Management Specialist (RN required), Per Diem. Remote within local geography.
Denials Management Specialist (RN required), Per Diem. Remote within local geography.
30+ days ago
St. Luke's University Health Network
- From: United States, Pennsylvania (USA) (Full Remote)
- Freelance
- Mid-level (2-5 years)
Board Certified Hematology Physician Advisor, Disability Peer Review
Board Certified Hematology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Utilization ManagementHematologyMedical NecessityMedical Testing
Board Certified Dermatology Physician Advisor, Disability Peer Review
Board Certified Dermatology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Disability ManagementClinical AssessmentsDermatology
Board Certified Physician Reviewer (MD/DO) - Medical Oncology (NM/TX License)
Board Certified Physician Reviewer (MD/DO) - Medical Oncology (NM/TX License)
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Medical NecessityMedical OncologyClinical Consulting
Utilization Management Physician Reviewer
Utilization Management Physician Reviewer
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Full time
Utilization ManagementMedical NecessityClinical Consulting
