RemoteOtterRemoteOtterExplore 31 Remote Clinical Review Jobs
P.T
Prime Therapeutics
Join Prime Therapeutics as a Physician Clinical Reviewer in Pediatric Neurology, focusing on medical necessity reviews and utilization management.
HJ Staffing
Join a leading Medicare Advantage Health Plan as a Medical Director of Utilization Management, focusing on clinical integrity and compliance.
Commence
The Clinical Review Coordinator is responsible for conducting case reviews and quality assurance in a remote healthcare setting.
Guidehealth
Guidehealth is looking for a part-time Medical Director in Psychiatry to oversee utilization management activities for a commercial health plan.
Commence
The Clinical Review Coordinator is responsible for conducting case reviews and quality assurance activities in a remote setting.
SmithRx
SmithRx is seeking a Clinical Review Quality Assurance Pharmacist to enhance the quality of prior authorization reviews and ensure compliance with regulatory standards.
Pharmacy
Pharmacy
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.
SmithRx
Join SmithRx as a Clinical Review Pharmacist to optimize clinical offerings and outcomes for customers in a seasonal role.
SmithRx
Join SmithRx as a Seasonal Prior Authorization Pharmacy Technician to assist in managing prescription coverage and clinical reviews.
Centene Management Company
Join Centene as a Utilization Review Clinician to assess and improve mental health and substance abuse care for our members.
Centene Management Company
Join Centene as a Clinical Review Nurse to evaluate member health and care delivery while enjoying a flexible work environment.
MDLive
MDLive
The Genetic Counselor Clinical Reviewer is responsible for evaluating genetic testing requests and providing expert advice to physicians.
Motion MSK
Seeking a licensed Registered Nurse for a fully remote contract position to support a Fracture Prevention Program.
Centene Management Company
Lead a clinical team as a Supervisor in Appeals at Centene, ensuring quality care for members while working remotely.
Centene Management Company
Join our team as a Utilization Review Clinician to assess and improve mental health and substance abuse care for our members.