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
89 jobs
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Pre-Authorization Registered Nurse
Pre-Authorization Registered Nurse
30+ days ago
Conviva Care Solutions
- Remote: United States, Laos, Louisiana (USA)
- Full time
- Mid-level (2-5 years)
- 37 - 87K
Medical NecessityUtilization ManagementNursing
Associate Medical Director
Associate Medical Director
30+ days ago
Lifelancer
- Remote: United States, North Carolina (USA)
- Full time
- Senior (5-10 years)
- 146 - 278K
Clinical ConsultingBusiness StrategiesMedical Law
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
1 day ago
Dane Street, LLC
- Remote: United States
- Fixed term
Utilization ManagementWorkers' Compensation ClaimsMedical NecessityOrthopedics
Louisiana-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
Louisiana-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States, Laos
- Full time
Institutional Review Board (IRB)Medical NecessityUtilization Management
Utilization Review RN
Utilization Review RN
10 day ago
WVU Medicine
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementPatient Progress NotesMedical Necessity
Clinical Review Nurse - Prior Authorization
Clinical Review Nurse - Prior Authorization
Today
Centene Corporation
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical NecessityCare Coordination
Senior Clinical Audit Subject Matter Expert 
Senior Clinical Audit Subject Matter Expert
30+ days ago
Machinify, Inc.
- Remote: United States
- Full time
Diagnosis-Related GroupMedical NecessityClinical Auditing
Care Manager
Care Manager
30+ days ago
Lucet (formerly New Directions + Tridiuum)
- Remote: United States
- Full time
Care CoordinationEducational AssessmentClinical Social WorkInternal Documentation
Physician Reviewer, Utilization Management
Physician Reviewer, Utilization Management
30+ days ago
Oscar Health
- Remote: United States
- Junior (1-2 years)
- 211 - 277K
Evidence-Based PracticeClinical AssessmentsMedical NecessityUtilization Management
Nurse Inpatient Coding Auditor, CIC or CCS certified
Nurse Inpatient Coding Auditor, CIC or CCS certified
30+ days ago
ProgenyHealth, LLC
- Remote: United States, Texas (USA)
- Mid-level (2-5 years)
- 19 - 19K
ICD Coding (ICD-9/ICD-10)Medical NecessityInpatient Coding
Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology)
Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology)
18 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Insurance ReviewsMedical NecessityClinical Consulting
PB Coder (Coding Specialist ll)
PB Coder (Coding Specialist ll)
30+ days ago
Oregon Health & Science University
- Remote: United States, Oregon (USA)
- 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
- Remote: United States
- Part time
Care CoordinationUtilization ManagementClinical AssessmentsMedical Necessity
Board Certified -Texas Licensed Physicians (M.D, D.O.) - Multiple Specialties
Board Certified -Texas Licensed Physicians (M.D, D.O.) - Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States
Clinical ConsultingInsurance ReviewsMedical Necessity
Clinical Appeals Supervisor
Clinical Appeals Supervisor
2 day ago
R1 RCM
- Remote: United States
- Full time
Clinical SupervisionMedical NecessityClinical Documentation
CRT Claims Examiner
CRT Claims Examiner
30+ days ago
Integra Partners
- Remote: United States, Michigan (USA)
- Full time
- Senior (5-10 years)
- 70 - 70K
Claims And Litigation Management
Board Certified Hematology Physician Advisor, Disability Peer Review
Board Certified Hematology Physician Advisor, Disability Peer Review
9 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Utilization ManagementHematologyMedical NecessityMedical Testing
Board Certified Physician Reviewer (MD/DO) - Medical Oncology (NM/TX License)
Board Certified Physician Reviewer (MD/DO) - Medical Oncology (NM/TX License)
16 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Medical NecessityMedical OncologyClinical Consulting
Senior Coding Quality Specialist
Senior Coding Quality Specialist
30+ days ago
CorroHealth
- Remote: United States
- Full time
Coding TheoryAuditing
Board Certified Dermatology Physician Advisor, Disability Peer Review
Board Certified Dermatology Physician Advisor, Disability Peer Review
9 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Disability ManagementClinical AssessmentsDermatology
Supervisor, Behavioral Health Utilization Management
Supervisor, Behavioral Health Utilization Management
11 day ago
Centene Corporation
- Remote: United States
- Full time
Clinical MedicineBehavioral HealthPerformance Management
Associate Medical Director, Diagnostic Imaging
Associate Medical Director, Diagnostic Imaging
30+ days ago
Lifelancer
- Remote: United States
- Full time
- Junior (1-2 years)
Evidence-Based PracticeMedical ImagingRadiology
Utilization Management Physician Reviewer
Utilization Management Physician Reviewer
9 day ago
Dane Street, LLC
- Remote: United States
- Full time
Utilization ManagementMedical NecessityClinical Consulting
CQE Manager I-Rehab Services-Occupational Therapy (Remote)
CQE Manager I-Rehab Services-Occupational Therapy (Remote)
1 day ago
EmergeCore Networks
- Remote: United States
- Full time
Evidence-Based PracticeClinical InformaticsMedical NecessityOccupational Therapy
Pre-Service Utilization Management LVN
Pre-Service Utilization Management LVN
26 day ago
CommonSpirit Health
- Remote: United States
- Full time
Utilization ManagementClinical InformaticsMedical Necessity
Virtual Utilization Review Specialist
Virtual Utilization Review Specialist
30+ days ago
Ensemble Health Partners
- Remote: United States
- Full time
Utilization ManagementClinical AssessmentsMedical NecessityResource Management
Medical Director – Inpatient Utilization Management
Medical Director – Inpatient Utilization Management
30+ days ago
Wellmark Blue Cross and Blue Shield
- Remote: United States, Iowa (USA)
- Mid-level (2-5 years)
Evidence-Based PracticeInpatient CareMedical Necessity
Care Manager
Care Manager
30+ days ago
Lucet (formerly New Directions + Tridiuum)
- Remote: United States
- Full time
Care CoordinationEducational AssessmentClinical Social WorkInternal Documentation
IN PATIENT Coder/Abstractor (Remote)
IN PATIENT Coder/Abstractor (Remote)
30+ days ago
Sentara Healthcare
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 47 - 68K
CPT CodingEncoder ProDemographic Analysis
Physician Advisor, Utilization Review Management
Physician Advisor, Utilization Review Management
30+ days ago
Sutter Health
- Remote: United States
- Full time
Utilization ManagementHealthcare Delivery ModelsCare ManagementClinical Documentation
Board Certified-Texas Licensed Physician Reviewer-Multiple Specialties
Board Certified-Texas Licensed Physician Reviewer-Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States, Texas (USA)
- Full time
Connecticut-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
Connecticut-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States
- Fixed term
Medical Necessity
Board Certified NC - Licensed Physician Reviewers - Multiple Specialties
Board Certified NC - Licensed Physician Reviewers - Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States, North Carolina (USA)
Board Certified-Colorado Licensed Physician Reviewers-Multiple Specialties
Board Certified-Colorado Licensed Physician Reviewers-Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States
- Full time
Weekend RN Reviewer 
Weekend RN Reviewer
30+ days ago
Cohere Health
- Remote: United States
- Mid-level (2-5 years)
- 28 - 28K
Clinical MedicineUtilization ManagementNursing
HIM PB Coding Specialist 2
HIM PB Coding Specialist 2
30+ days ago
St. Charles Health System
- Remote: United States
- Full time
ICD 503CppunitHuman Interface GuidelinesHealth Information Management
Remote Marketplace Medical Director
Remote Marketplace Medical Director
30+ days ago
Centene Corporation
- Remote: United States
- Full time
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
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
- Remote: United States, Pennsylvania (USA)
- Freelance
- Mid-level (2-5 years)
Board Certified-New York Licensed Physician Reviewers-Multiple Specialties
Board Certified-New York Licensed Physician Reviewers-Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States, New York (USA)
- Full time
