RemoteOtterRemoteOtterExplore 41 Remote Medical Necessity Jobs
MedWatch
The Case Manager RN is responsible for managing patient caseloads and coordinating care in a remote work environment.
Dane Street
Join Dane Street as a remote Physician Reviewer specializing in Orthopedic Spine for flexible, non-clinical utilization reviews.
Dane Street
Dane Street is seeking Board-Certified Orthopedic Spine Surgeons for a remote Physician Reviewer role in Utilization Review.
Discovery Behavioral Health
The Utilization Review Case Manager is responsible for coordinating insurance claims and ensuring clients receive maximum benefits.
University of Arkansas for Medical Sciences
The Inpatient Certified Procedural Coding Specialist will work remotely to code inpatient health records accurately and ensure documentation supports all assigned diagnoses and procedures.
S.W.H.C
SHC WVUHS Home Care
The Utilization Review RN specializes in examining medical records to optimize reimbursement and prevent payment denial.
Dane Street
This role involves reviewing medical oncology cases and insurance appeals on a flexible telework basis.
L.V.H
Lehigh Valley Hospital
Join Lehigh Valley Health Network as an Authorization Specialist to manage healthcare authorizations and billing processes.
Mountain Pacific
Mountain Pacific is seeking a contract Peer Reviewer - Nephrologist to perform remote reviews of healthcare provided to military service members.
CGC Group
The Grievance & Appeals Specialist evaluates medical necessity and manages grievances and appeals to ensure compliance in healthcare.
Machinify
Machinify is looking for a Senior Clinical Audit Subject Matter Expert to enhance product quality in the payment integrity audits space.
Cohere Health
Cohere Health is seeking an Associate Medical Director to oversee utilization management and improve patient outcomes through clinical reviews.
Dane Street
Join as a Physician Reviewer, working remotely to review insurance appeals and claims with flexible scheduling.
EVERSANA
Join EVERSANA as a Health Care Call Center Representative, providing essential support to patients and healthcare providers.
Mountain Pacific
Mountain Pacific is seeking contract remote peer reviewers in various healthcare specialties.