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Explore 38 Remote Clinical Review Jobs

WNS Global Services logo

Remote Healthcare Specialist (USRN)

WNS Global Services

3 weeks ago

The Remote Healthcare Specialist will conduct clinical reviews and manage cases requiring additional information in a professional healthcare setting.

Philippines
Full-time
All others

MDLive

Remote Inpatient Telepharmacist, Third Shift

MDLive

5 weeks ago

Join as a Remote Inpatient Telepharmacist to provide patient-centered pharmacy care across hospitals.

USA
Full-time
All others
54 - 91 USD/hour
Greenlife Healthcare Staffing logo

Registered Nurse/Medicaid Clinical Reviewer - Remote

Greenlife Healthcare Staffing

5 weeks ago

Seeking a Registered Nurse to conduct Medicaid clinical reviews in a fully remote setting.

Worldwide
Full-time
All others
$50/hour

O.H

Prior Authorization Pharmacist - Remote

Oscar Health

6 weeks ago

Join Oscar as a remote Prior Authorization Pharmacist, responsible for reviewing drug authorizations and ensuring compliance in a managed care setting.

USA
Full-time
All others
$111,780 - $146,711.25/year
Commence logo

Alternative/Holistic Psychiatrist for Peer Review Work - Remote

Commence

6 weeks ago

Join Commence as an Alternative/Holistic psychiatrist for remote peer review work, ensuring quality care for military families.

Worldwide
Contract
All others
$750/case
Commence logo

Clinical Review Coordinator - Remote

Commence

8 weeks ago

The Clinical Review Coordinator is responsible for conducting case reviews and ensuring quality assurance activities while working remotely from the Las Vegas area.

NV, USA
Full-time
Healthcare
$83,200/year
MedOne Pharmacy Benefit Solutions logo

Clinical Review Technician - CPhT Required - Remote

MedOne Pharmacy Benefit Solutions

10 weeks ago

Join MedOne as a Clinical Review Technician to support medication therapy assessments and prior authorization processes.

USA
Full-time
All others

P.T

Physician Clinical Reviewer - Pediatric Neurology - Remote

Prime Therapeutics

13 weeks ago

Join Prime Therapeutics as a Physician Clinical Reviewer in Pediatric Neurology, focusing on medical necessity reviews and utilization management.

USA
Full-time
All others
$90.87 - $154.33/hour
HJ Staffing logo

Medical Director of Utilization Management - Remote

HJ Staffing

14 weeks ago

Join a leading Medicare Advantage Health Plan as a Medical Director of Utilization Management, focusing on clinical integrity and compliance.

Worldwide
Full-time
All others
Commence logo

Clinical Review Coordinator - Remote

Commence

19 weeks ago

The Clinical Review Coordinator is responsible for conducting case reviews and quality assurance in a remote healthcare setting.

NV, USA
Full-time
All others
83,200/year
Guidehealth logo

Contract Behavioral Health Utilization Management Medical Director (Psychiatry) - Remote

Guidehealth

21 weeks ago

Guidehealth is looking for a part-time Medical Director in Psychiatry to oversee utilization management activities for a commercial health plan.

USA
Part-time
All others
Commence logo

Clinical Review Coordinator - Remote

Commence

32 weeks ago

The Clinical Review Coordinator is responsible for conducting case reviews and quality assurance activities in a remote setting.

NV, USA
Part-time
All others
SmithRx logo

Clinical Review Quality Assurance Pharmacist - Remote

SmithRx

35 weeks ago

SmithRx is seeking a Clinical Review Quality Assurance Pharmacist to enhance the quality of prior authorization reviews and ensure compliance with regulatory standards.

Worldwide
Full-time
All others

Pharmacy

Remote Prior Authorization Pharmacist

Pharmacy

37 weeks ago

Join a confidential managed care organization as a Remote Prior Authorization Pharmacist, working from home to evaluate prescription requests and improve patient access to therapies.

Worldwide
Full-time
All others
SmithRx logo

Clinical Review Pharmacist (Seasonal) - Remote

SmithRx

40 weeks ago

Join SmithRx as a Clinical Review Pharmacist to optimize clinical offerings and outcomes for customers in a seasonal role.

USA
Contract
All others