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Explore 15 Remote Interqual Jobs

H.A.H.

Pre-Authorization Nurse - Remote

Humana At Home 1

2 weeks ago

The Pre-Authorization Nurse reviews prior authorization requests and coordinates quality care for beneficiaries.

USA
Full-time
Healthcare
$71,100 - $97,800/year
HealthAxis Group logo

Part-Time, Temporary Utilization Management Concurrent Review Nurse - Remote

HealthAxis Group

2 weeks ago

The Part-Time, Temporary UM Concurrent Review Nurse conducts medical necessity reviews for outpatient services and manages concurrent inpatient admissions.

FL, USA
Part-time
All others

M.S

Behavioral Health Utilization Management Clinician - Remote

Morgan Stephens

7 weeks ago

Join a leading healthcare organization as a remote Behavioral Health Utilization Management Clinician to ensure quality care for behavioral health services.

Worldwide
Contract
All others
$42/hour

M.S

Utilization Management Nurse – Behavioral Health Focus - Remote

Morgan Stephens

7 weeks ago

Seeking a Utilization Management Nurse with a focus on behavioral health to review service authorization requests.

USA
Full-time
All others
$40/hour
Wellmark logo

Utilization Management Nurse - Remote

Wellmark

9 weeks ago

Join Wellmark as a Utilization Management Nurse to provide essential support and services to members while working in a flexible remote environment.

USA
Full-time
All others
Telligen logo

Peer Reviewer - 1099 Consultant - Remote

Telligen

9 weeks ago

Join as a Peer Reviewer -1099 Consultant to evaluate medical necessity for Medicaid beneficiaries in mental health and substance abuse care.

WY, USA
Contract
All others
Wellmark logo

Utilization Management Nurse - Remote

Wellmark

11 weeks ago

Join Wellmark as a Utilization Management Nurse, providing essential services to members and healthcare providers with a focus on clinical expertise and member advocacy.

IA, USA
Full-time
Healthcare

M.T.A

Delegation Oversight Nurse (Remote)

Molina Talent Acquisition

11 weeks ago

The Delegation Oversight Nurse ensures compliance with healthcare regulations and assists in oversight duties for Molina Healthcare's UM delegates.

CA, USA
Full-time
All others

M.S

Care Review Clinician II (RN or LVN) - Remote

Morgan Stephens

12 weeks ago

Join a Managed Care Organization as a Care Review Clinician II (RN or LVN) in a remote role focused on clinical service reviews and healthcare decision-making.

CA, USA
Full-time
All others
up to 45 USD/hour

M.S

Utilization Management Nurse – Behavioral Health Focus - Remote

Morgan Stephens

17 weeks ago

Seeking a Utilization Management Nurse focused on behavioral health to review service authorization requests and evaluate medical necessity.

USA
Full-time
All others
$40/hour
OSH-RI logo

Utilization Management Nurse Consultant - Medical Review - Remote

OSH-RI

17 weeks ago

Join CVS Health as a Utilization Management Nurse Consultant, providing medical review and management in a fully remote role.

USA
Full-time
All others
$26.01 - $56.14/hour
WellSky Corporation logo

Utilization Review Clinician (RN, PT, OT) - Remote

WellSky Corporation

17 weeks ago

Join WellSky as a Utilization Review Clinician to ensure quality care coordination and compliance in a home-based role.

USA
Full-time
Healthcare
HealthAxis Group logo

Utilization Review Nurse - Remote

HealthAxis Group

18 weeks ago

The Utilization Review Nurse conducts medical necessity reviews and manages inpatient admissions with a focus on compliance and effective communication.

FL, USA
Full-time
Healthcare

M.S

Care Review Clinician - Remote

Morgan Stephens

20 weeks ago

Join a Managed Care Organization as a Care Review Clinician, responsible for clinical reviews and authorizations in a remote role.

CA, USA
Full-time
All others
40.00USD/hour
ProgenyHealth logo

Utilization Management Nurse - Remote

ProgenyHealth

20 weeks ago

ProgenyHealth is seeking a full-time Utilization Management Nurse to coordinate care for newborns in a fully remote setting.

Worldwide
Full-time
All others