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Explore 38 Remote Clinical Review Jobs

WNS Global Services logo

Remote Healthcare Specialist (USRN)

WNS Global Services

10 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

11 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

12 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

12 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

13 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

14 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

17 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

19 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

21 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

25 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

27 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

38 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

41 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

43 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

47 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