RemoteOtterRemoteOtterExplore 74 Remote Medical Necessity Jobs
AdaptHealth
The Document Review Specialist ensures compliance in delivery documentation and manages patient eligibility for billing.
B.V
Broadway Ventures
Join Broadway Ventures as a Remote RN to conduct medical claims reviews ensuring compliance and appropriateness of coverage.
L.H.M.C
Logan Health Medical Center
Join Logan Health as a fully remote Utilization Management Specialist, leveraging your clinical expertise to enhance patient outcomes and resource management.
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CRD Careers (Independent Recruiters)
Join a national managed care organization as a Senior Clinical Coding Auditor & Trainer, focusing on improving coding accuracy and compliance.
Wellpartner
The Health Services Professional develops clinical policies and supports inquiries regarding medical necessity at CVS Health.
C.R
Capital Rx
The Appeals Pharmacist is responsible for reviewing clinical coverage determinations and appeals to ensure quality decision-making.
B.V
Broadway Ventures
Join Broadway Ventures as a Remote Registered Nurse to conduct medical claims reviews ensuring compliance and reimbursement eligibility.
Dane Street
This role involves reviewing insurance appeals and claims in Hematology/Medical Oncology as a telework independent contractor.
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.