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Explore 162 Remote Utilization Review Jobs

MRIoA logo

Utilization Review Physician - Hematology/Oncology - Remote

MRIoA

3 days ago

Join MRIoA as a remote Utilization Review Physician specializing in Hematology/Oncology with flexible hours.

USA
Contract
All others

The Appeals Nurse resolves clinical complaints and appeals, ensuring compliance with health care regulations.

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

A.R

Appeals Nurse Consultant - Remote

Aetna Resources

4 days ago

The Appeals Nurse Consultant works remotely to review and resolve clinical appeals, ensuring compliance with healthcare regulations.

USA
Full-time
All others
$66,575.00 - $142,576.00/year
HealthAxis Group logo

Utilization Review Nurse - Remote

HealthAxis Group

4 days ago

The Utilization Review Nurse is responsible for reviewing medical necessity for outpatient services and managing inpatient admissions.

USA
Full-time
All others

C.

Utilization Management Administration Coordinator - Phone Intake - Remote

CDO 1

1 week ago

Join a caring community as a Utilization Management Administration Coordinator, providing essential support to healthcare providers.

USA
Full-time
Customer Service
$40,000 - $52,300/year

A.R

Case Manager, Registered Nurse - Remote

Aetna Resources

1 week ago

Join CVS Health as a fully remote Case Manager, Registered Nurse, focusing on telephonic patient care and management.

USA
Full-time
All others
$54,095.00 - $155,538.00/year
Centene Management Company logo

Clinical Appeals Coordinator - Remote

Centene Management Company

2 weeks ago

The Clinical Appeals Coordinator will manage statewide appeals and ensure compliance with healthcare regulations while working remotely.

Worldwide
Full-time
All others
$33.03 - $59.47/hour
Guidehealth logo

Remote RN Case Manager

Guidehealth

3 weeks ago

Guidehealth is looking for a Remote RN Case Manager to enhance member management and support healthcare navigation.

USA
Full-time
Healthcare
$80,000.00 - $85,000.00/year
MRIoA logo

Remote Cardiologist for Utilization Review

MRIoA

3 weeks ago

Seeking a remote Board-Certified Cardiologist for flexible utilization review work.

USA
Contract
All others
WNS Global Services logo

Nurse - Clinical Review - Remote

WNS Global Services

4 weeks ago

The Nurse - Clinical Review will conduct utilization reviews and ensure compliance with medical necessity criteria while collaborating with healthcare providers.

Houston, USA
Full-time
All others
65000 - 75000/year
Medical Review Institute of America logo

Remote Addiction Psychiatrist - Utilization Review - Contract

Medical Review Institute of America

4 weeks ago

This position offers a flexible, fully remote opportunity for Board-Certified Addiction Psychiatrists to conduct independent Utilization Reviews.

USA
Contract
All others
Medical Review Institute of America logo

Remote Dermatology Utilization Review Physician

Medical Review Institute of America

4 weeks ago

This is a remote contract position for Board-Certified Dermatologists to perform independent Utilization Reviews.

USA
Contract
All others
Medical Review Institute of America logo

Remote Geriatric Utilization Review Physician (Contract)

Medical Review Institute of America

5 weeks ago

This role offers a flexible, remote opportunity for physicians to conduct independent Geriatric Utilization Reviews.

USA
Contract
All others
Medical Review Institute of America logo

Remote Dermatology Utilization Review Physician - Contract (1099)

Medical Review Institute of America

5 weeks ago

This is a remote contract position for Board-Certified dermatologists to conduct independent utilization reviews.

USA
Contract
All others
Medical Review Institute of America logo

Remote Ophthalmology Utilization Review Physician

Medical Review Institute of America

5 weeks ago

Seeking Board-Certified Ophthalmologists for remote utilization review work requiring minimal hours each week.

USA
Contract
All others