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Explore 26 Remote Clinical Review Jobs

SmithRx logo

Clinical Review Quality Assurance Pharmacist - Remote

SmithRx

3 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

5 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

8 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
SmithRx logo

Prior Authorization Pharmacy Technician (Seasonal) - Remote

SmithRx

8 weeks ago

Join SmithRx as a Seasonal Prior Authorization Pharmacy Technician to assist in managing prescription coverage and clinical reviews.

Worldwide
Contract
Customer Service
Centene Management Company logo

Utilization Review Clinician - Behavioral Health - Remote

Centene Management Company

10 weeks ago

Join Centene as a Utilization Review Clinician to assess and improve mental health and substance abuse care for our members.

USA
Full-time
Healthcare
$26.50 - $47.59/hour
Centene Management Company logo

Clinical Review Nurse - Concurrent Review - Remote

Centene Management Company

11 weeks ago

Join Centene as a Clinical Review Nurse to evaluate member health and care delivery while enjoying a flexible work environment.

USA
Full-time
All others
$26.50 - $47.59/hour

MDLive

Genetic Counselor Clinical Reviewer - Remote

MDLive

13 weeks ago

The Genetic Counselor Clinical Reviewer is responsible for evaluating genetic testing requests and providing expert advice to physicians.

USA
Full-time
All others
71,100 - 118,500 USD/year
Motion MSK logo

Nurse Case Manager (Registered Nurse - Contract) - Remote

Motion MSK

14 weeks ago

Seeking a licensed Registered Nurse for a fully remote contract position to support a Fracture Prevention Program.

USA
Contract
All others
$40 - $50/hour
Centene Management Company logo

Supervisor, Appeals - Remote

Centene Management Company

16 weeks ago

Lead a clinical team as a Supervisor in Appeals at Centene, ensuring quality care for members while working remotely.

USA
Full-time
All others
$73,800.00 - $132,700.00/year
Centene Management Company logo

Utilization Review Clinician - Behavioral Health - Remote

Centene Management Company

16 weeks ago

Join our team as a Utilization Review Clinician to assess and improve mental health and substance abuse care for our members.

USA
Full-time
All others
$26.50 - $47.59/hour
Centene Management Company logo

Clinical Review Nurse - Correspondence - Remote

Centene Management Company

16 weeks ago

The Clinical Review Nurse will draft correspondence letters based on clinical review outcomes and ensure compliance with NCQA standards.

USA
Full-time
All others
26.50 - 47.59/hour
Centene Management Company logo

Senior Clinical Review Nurse - Correspondence - Remote

Centene Management Company

16 weeks ago

Join our team as a Senior Clinical Review Nurse, where you will draft correspondence and conduct clinical reviews to ensure compliance with healthcare standards.

USA
Full-time
All others
30.00 - 54.03/hour
Centene Management Company logo

Senior Utilization Review Clinician - Behavioral Health - Remote

Centene Management Company

16 weeks ago

Join Centene as a Senior Utilization Review Clinician to assess and ensure the quality of mental health and substance abuse services for members.

USA
Full-time
All others
$30.00 - $54.03/hour
Centene Management Company logo

Clinical Review Clinician - Appeals - Remote

Centene Management Company

16 weeks ago

Join Centene as a Clinical Review Clinician to perform essential clinical reviews for appeals processing.

USA
Full-time
Healthcare
26.50 - 47.59 USD/hour
Centene Management Company logo

Clinical Review Nurse - Concurrent Review - Remote

Centene Management Company

17 weeks ago

Join our Medical Management team as a Clinical Review Nurse, focusing on concurrent reviews and ensuring quality patient care.

USA
Full-time
All others
26.50 - 47.59/hour