RemoteOtterRemoteOtterExplore 60 Remote Utilization Review Jobs
OSH-RI
CVS Health is seeking a remote Case Manager Registered Nurse to provide telephonic case management for patients in the Oncology, Transplant, and Specialty Pharmacy sectors.
M.T.A
Molina Talent Acquisition
The Clinical Appeals Nurse (RN) is responsible for reviewing medical claims and ensuring compliance with clinical standards in a remote capacity.
OSH-RI
The Medical Director role at CVS Health oversees medical policy implementation and quality assurance in a remote setting, requiring a Florida medical license.
Dane Street
Join Dane Street as a remote Physician Reviewer specializing in Orthopedic Spine for flexible, non-clinical utilization reviews.
Medical Review Institute of America
Flexible remote opportunity for Board-Certified Hematology/Oncology physicians to conduct Utilization Reviews.
OSH-RI
Join CVS Health as a Utilization Management Nurse Consultant, working remotely on weekends to coordinate healthcare services.
University of Maryland Medical System
The Nurse Audit Specialist conducts audits of hospital bills to ensure minimal uncompensated patient revenues and educates staff on reimbursement practices.
Dane Street
Seeking Board-Certified Orthopedic Surgeons for remote Utilization Review roles with flexible scheduling.
Discovery Behavioral Health
The Clinical Appeals Specialist manages medical necessity denials and prepares appeals in a remote full-time position.
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.
OSH-RI
The Medical Director will oversee medical policy implementation and expand Aetna's medical management programs while working remotely.
OSH-RI
Join CVS Health as a remote Case Manager Registered Nurse focusing on Transplant and Oncology care.
Medical Review Institute of America
Remote position for a board-certified Ophthalmologist to conduct utilization reviews as an independent contractor.
Hines & Associates
Join Hines & Associates as a Nurse Coordinator to assist with physician reviews in a flexible remote work environment.