RemoteOtterRemoteOtterExplore 66 Remote Medical Necessity Jobs
EvergreenHealth
The Clinical Appeals Specialist RN is responsible for reviewing and appealing clinical claim denials and audit determinations in a healthcare setting.
Cobalt Benefits Group
The Healthcare Utilization Specialist ensures clients receive the right care through effective claims processing and collaboration within the team.
Dane Street
The Physician Reviewer will utilize clinical expertise to review medical records and determine medical necessity for Independent Medical Exams.
Northwestern Memorial Healthcare
Join Northwestern Medicine as a full-time RN in the Orders Management Unit, focusing on outpatient order management and compliance.
Dane Street
Join as a Physician Reviewer/Advisor to conduct independent medical record reviews and provide evidence-based assessments.
Dane Street
Join as an Independent Medical Examiner for orthopedic surgery, providing expert reviews on medical necessity and insurance appeals.
SmarterDx
Join SmarterDx as a Utilization Management Specialist to optimize hospital resource use and enhance patient management through clinical AI.
Dane Street
Seeking a Board Certified Physician Reviewer/Advisor specializing in ENT for Independent Medical Exams.
MDLive
MDLive
Join EviCore as a Medical Director for Colon & Rectal Surgery, leveraging your clinical skills to improve patient care while working remotely.
Dane Street
Dane Street is seeking Licensed Reviewers who are Board Certified Behavioral Analysts for telework opportunities.
N.H
Nuvance Health
The Outpatient Coder II analyzes and codes complex outpatient records while ensuring compliance with coding guidelines.
Dane Street
Dane Street is seeking Board-Certified General Surgeons for a remote, non-clinical contract position to conduct independent medical reviews.
Professional Management Enterprises
The Grievance and Appeals Nurse is responsible for managing complex grievances and appeals in a remote setting, requiring strong communication and analytical skills.
Advanced Pain Care
The Surgical Authorization Specialist is responsible for verifying insurance eligibility and facilitating the authorization process for outpatient services.
Dane Street
Join as a Physician Reviewer/Advisor for Independent Medical Exams, leveraging clinical expertise to review insurance appeals and claims.