Remote Otter LogoRemoteOtter

Explore 118 Remote Utilization Review Jobs

Jobgether

Physician Reviewer - Cardiologist Surgery (Utilization Review) - Remote

Jobgether

3 days ago

Remote contract position for board-certified cardiologists to conduct utilization reviews and determine treatment necessity.

CO, USA
Contract
All others
Wellpartner logo

Case Manager Registered Nurse - Specialty Pharmacy or Oncology - Remote

Wellpartner

5 days ago

Join CVS Health as a remote Case Manager Registered Nurse specializing in Specialty Pharmacy or Oncology.

USA
Full-time
Healthcare
$54,095.00 - $155,538.00/year
Wellpartner logo

Utilization Management Nurse Consultant - Remote

Wellpartner

5 days ago

Join CVS Health as a remote Utilization Management Nurse Consultant to facilitate healthcare services and benefits for members.

USA
Full-time
All others
$29.10 - $62.32/hour

R.J.A.S.C

Utilization Review Coordinator - Remote

Remote Jobs At Sandstone Care

1 week ago

The Utilization Review Coordinator manages utilization reviews for various treatment programs, ensuring compliance and effective communication between clinical staff and payers.

Worldwide
Full-time
All others
$62,000 - $70,000/year
EK Health Services logo

Utilization Review Health Care Professional (PT, LVN, LPN) - REMOTE

EK Health Services

1 week ago

Join EK Health as a Utilization Review Health Care Professional, leveraging your clinical skills in a remote role to assess healthcare services.

Worldwide
Full-time
All others
30/hour
Granted logo

Clinical Denials and Appeals Specialist - Remote

Granted

1 week ago

Join Granted as a Clinical Denials and Appeals Specialist to tackle complex healthcare challenges and empower patients in navigating insurance coverage.

USA
Full-time
All others

H.A.H.

Pre-Authorization Nurse - Remote

Humana At Home 1

2 weeks ago

The Pre-Authorization Nurse reviews prior authorization requests and coordinates quality care for beneficiaries.

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

Part-Time, Temporary Utilization Management Concurrent Review Nurse - Remote

HealthAxis Group

2 weeks ago

The Part-Time, Temporary UM Concurrent Review Nurse conducts medical necessity reviews for outpatient services and manages concurrent inpatient admissions.

FL, USA
Part-time
All others
Dane Street logo

Physician Reviewer - Neurological Surgery (Utilization Review) - Remote

Dane Street

2 weeks ago

Dane Street is seeking Board-Certified Neurological Surgeons for remote independent medical reviews.

LA, USA
Contract
All others
Dane Street logo

Physician Reviewer - Orthopedic Surgery (Utilization Review) - Remote

Dane Street

2 weeks ago

Dane Street is seeking Board-Certified Orthopedic Surgeons for independent medical reviews on a fully remote contract basis.

LA, USA
Contract
All others
Dane Street logo

Physician Reviewer - General Surgery (Utilization Review) - Remote

Dane Street

2 weeks ago

Dane Street is seeking Board-Certified General Surgeons for a remote, non-clinical contract position to conduct independent medical reviews.

LA, USA
Contract
All others

V.V.H.S.A

Registered Nurse (RN) - Utilization Review - Remote

VCUHSA VCU Health System Authority

2 weeks ago

The Registered Nurse (RN) - Utilization Review is responsible for managing and reviewing patient services in a remote capacity.

USA
Full-time
All others
Centene Management Company logo

Utilization Review Clinician - Behavioral Health - Remote

Centene Management Company

2 weeks ago

Join our team as a Utilization Review Clinician to assess and improve mental health and substance abuse care for our members.

USA
Full-time
All others
$26.50 - $47.59/hour
Medical Review Institute of America logo

Neurology Utilization Review Physician - Remote Contract

Medical Review Institute of America

3 weeks ago

Seeking Board-Certified Neurology physicians for a remote contract opportunity in Utilization Review.

USA
Contract
All others
Dane Street logo

Internal Medicine - Independent Medical Examiner (IME) - Remote

Dane Street

3 weeks ago

Join as a Physician Reviewer/Advisor for Independent Medical Exams, leveraging clinical expertise to review insurance appeals and claims.

TN, USA
Contract
All others