RemoteOtterRemoteOtterExplore 22 Remote Interqual Jobs
WNR
WNR
The Supervisor of Utilization Management will lead and support the clinical staff in managing utilization reviews and ensuring compliance with regulations.
HealthAxis Group
The Utilization Review Nurse is responsible for reviewing medical necessity for outpatient services and managing inpatient admissions.
WellSky Corporation
The Utilization Review Clinician - RN is responsible for reviewing medical records and coordinating care to ensure appropriate levels of service.
Wellmark
Join Wellmark as a Utilization Management Nurse I, providing essential support and consultation in a remote setting.
A.R
Aetna Resources
CVS Health is seeking a remote Utilization Management Nurse Consultant to oversee medical review cases and ensure quality care.
SmarterDx
Join SmarterDx as a Utilization Management Specialist to optimize hospital resource use and enhance patient management through clinical AI.
HJ Staffing
The Medical Director (Utilization Management) leads clinical integrity in utilization management, focusing on care determinations for Medicare Advantage members.
Go365
Go365
The Pre-Authorization Nurse reviews prior authorization requests and coordinates quality care for beneficiaries.
HealthAxis Group
The Part-Time, Temporary UM Concurrent Review Nurse conducts medical necessity reviews for outpatient services and manages concurrent inpatient admissions.
M.S
Morgan Stephens
Join a leading healthcare organization as a remote Behavioral Health Utilization Management Clinician to ensure quality care for behavioral health services.
M.S
Morgan Stephens
Seeking a Utilization Management Nurse with a focus on behavioral health to review service authorization requests.
Wellmark
Join Wellmark as a Utilization Management Nurse to provide essential support and services to members while working in a flexible remote environment.
Telligen
Join as a Peer Reviewer -1099 Consultant to evaluate medical necessity for Medicaid beneficiaries in mental health and substance abuse care.
Wellmark
Join Wellmark as a Utilization Management Nurse, providing essential services to members and healthcare providers with a focus on clinical expertise and member advocacy.
M.T.A
Molina Talent Acquisition
The Delegation Oversight Nurse ensures compliance with healthcare regulations and assists in oversight duties for Molina Healthcare's UM delegates.