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Explore 20 Remote Clinical Review Jobs

MDLive

Genetic Counselor Clinical Reviewer - Remote

MDLive

2 days 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

7 days 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

2 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

3 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

3 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

Clinical Review Clinician - Appeals - Remote

Centene Management Company

3 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

Senior Utilization Review Clinician - Behavioral Health - Remote

Centene Management Company

3 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

Senior Clinical Review Nurse - Correspondence - Remote

Centene Management Company

3 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

Clinical Review Nurse - Concurrent Review - Remote

Centene Management Company

4 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

C.M.H

Per Diem Pharmacist - Remote

C210 Marlborough Hospital

4 weeks ago

Join UMass Memorial Medical Center as a Per Diem Pharmacist, providing essential medication management and patient care.

USA
Contract
All others
OSH-RI logo

Utilization Management Nurse Consultant – Behavioral Health - Remote

OSH-RI

6 weeks ago

Join CVS Health as a Utilization Management Nurse Consultant focusing on Behavioral Health, providing remote clinical evaluations and support.

USA
Full-time
All others
$29.10 - $62.32/hour
Soleo Health logo

Clinical Review Coordinator - Remote

Soleo Health

11 weeks ago

Soleo Health is looking for a Remote Clinical Review Coordinator to manage clinical reviews and support patient care.

USA
Full-time
All others

M.T.A

Care Review Clinician, Inpatient Review (BH) - Remote

Molina Talent Acquisition

13 weeks ago

Molina Healthcare is seeking a Care Review Clinician to assess and coordinate care for members in a remote setting, requiring specific licensure and experience.

USA
Full-time
All others
University of Arkansas for Medical Sciences logo

Registered Nurse - Transfer Center - Remote

University of Arkansas for Medical Sciences

15 weeks ago

The Registered Nurse in the Transfer Center provides telephonic patient triage and consultation, ensuring efficient patient care and communication.

USA
Full-time
All others
Commensurate with education & experience
CGC Group logo

Pharmacy Utilization Management and Quality Assurance Leader - Remote

CGC Group

16 weeks ago

The Pharmacy UM/QA Leader manages pharmacy delegates, ensuring quality assurance and compliance in Utilization Management.

Worldwide
Full-time
All others
$65 - $75/hour