RemoteOtterRemoteOtterExplore 43 Remote Clinical Guidelines Jobs
UPMC
UPMC Health Plan is hiring a fully remote Medical Director for Utilization Management to oversee quality healthcare delivery.
Hamilton Health Box
Join Hamilton Health Box as a Physician Assistant providing both in-person and virtual medical care in a dynamic healthcare startup.
Go365
Go365
The Medical Director is responsible for making determinations on healthcare services and ensuring compliance with clinical guidelines while collaborating with healthcare teams.
Omada Health
Seeking a board-certified physician specializing in obesity medicine for a part-time role at Omada Health.
Dane Street
Join Dane Street as a remote Pain Management Physician for independent medical reviews.
Humana
Humana
The Medical Director oversees health claims and service authorizations while ensuring compliance with medical guidelines and regulations.
M.A
Mentis AI
We are looking for oncologists to help improve AI models through clinical case analysis and summarization.
Hazel
The Oversight Physician will provide telehealth services and supervise Advanced Practice Providers to ensure quality healthcare delivery.
Jobgether
Join a telemedicine platform as a physician, providing virtual care with flexible hours.
WNS Global Services
The Senior Nurse - Clinical Review will conduct training and develop educational materials to enhance staff performance in healthcare utilization review processes.
HJ Staffing
The Medical Director (Utilization Management) leads clinical integrity in utilization management, focusing on care determinations for Medicare Advantage members.
Centene Management Company
The Senior LTSS Service Care Manager RN is responsible for managing care for high acuity populations through assessment, coordination, and education.
Dane Street
Dane Street is looking for Board-Certified Orthopedic Surgeons to conduct independent medical reviews remotely, offering flexible hours and no patient interaction.
Mercier Consultancy BG
Join Mercier Consultancy BG as a Registered Nurse and take advantage of a fully paid relocation to Ireland.
Dane Street
Dane Street is seeking Board-Certified General Surgeons for a remote, non-clinical contract position to conduct independent medical reviews.