Remote InterQual Criteria Jobs
Remote from:
Software Development 17838B2B Sales & Account Management 10968CRM & Direct Marketing 10917Product 9303Back-End Development 9223Management and Leadership 8423Data and Analytics 8147finance 8094IT & Engineering 6553Enterprise Sales 6500Project & Program Management 5958Customer Support & Service 5958Sustainability & CSR 5474Sales Leadership & Strategy 5011DevOps & Infrastructure 4737Growth & Performance 3338Front-End Development 2857
26 jobs
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Manager, UM Behavioral Health
Manager, UM Behavioral Health
Today
Humana
- From: Oklahoma (USA) (Full Remote)
- Full time
PsychologyNurse RegistryUtilization ManagementMedical Social Work
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- From: United Kingdom (Full Remote)
- Senior (5-10 years)
- 81 - 113K
Medical Management
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare Coordination
RC Appellate Clinician - Remote $10K Sign on Bonus
RC Appellate Clinician - Remote $10K Sign on Bonus
30+ days ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
InterQual CriteriaMedical Necessity
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare CoordinationClinical Assessments
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare CoordinationClinical Assessments
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
30+ days ago
Gainwell Technologies LLC
- From: Maine (USA) (Full Remote)
- Full time
Utilization ManagementInterQual CriteriaMedical NecessityClinical Documentation
Utilization Review Clinician (RN, PT, OT) - Oregon
Utilization Review Clinician (RN, PT, OT) - Oregon
30+ days ago
WellSky
- From: Oregon (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementMedical GuidelineNursing
Care Manager, RN (Work From Home)
Care Manager, RN (Work From Home)
10 days ago
NeueHealth
- From: California (USA) (Full Remote)
- Full time
Care ManagementBasic Patient CareClinical AssessmentsCross-Functional Collaboration
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementProject ManagementClinical Assessments
Utilization Management Nurse – Behavioral Health Focus (Remote)
Utilization Management Nurse – Behavioral Health Focus (Remote)
30+ days ago
Morgan Stephens
- From: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), New York (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthNurse Licensure Compact
BH UM Clinician - Fully remote
BH UM Clinician - Fully remote
14 days ago
MetroPlusHealth
- From: New York (USA) (Full Remote)
- Full time
Utilization ManagementBehavioral HealthDischarge Planning
Full-Time RN Case Manager (UR Focused) | Texas
Full-Time RN Case Manager (UR Focused) | Texas
30+ days ago
Beam Healthcare
- From: Texas (USA) (Full Remote)
- Full time
Care CoordinationCare ManagementDischarge PlanningUtilization Management
Nurse Practitioner (Ocean, New Jersey)
Nurse Practitioner (Ocean, New Jersey)
30+ days ago
CareCentrix
- From: New Jersey (USA) (Full Remote)
- Full time
Utilization ManagementAcute Care NursingClinical AuditingBasic Patient Care
Care Manager II Utilization Mgmt Acute
Care Manager II Utilization Mgmt Acute
3 days ago
Sutter Health
- From: United States (Full Remote)
- Full time
Utilization ManagementTransitional CareHealth Reimbursement ArrangementCare Management
Clinical Denial Management Specialist RN - Remote $10K sign on bonus
Clinical Denial Management Specialist RN - Remote $10K sign on bonus
30+ days ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
AppealsInterQual CriteriaMedical Necessity
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Medical ManagementClinical Assessments
Utilization review Nurse
Utilization review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare Coordination
Utilization Review Author
Utilization Review Author
10 days ago
R1 RCM
- From: United States (Full Remote)
- Full time
Utilization ManagementHospital ExperienceCare Management
DRG Revenue Integrity Auditor
DRG Revenue Integrity Auditor
30+ days ago
CorroHealth
- From: United States (Full Remote)
- Full time
Diagnosis-Related GroupICD 503Clinical DocumentationHuman Interface Guidelines
Utilization Review Nurse, Part-Time, Remote (Evergreen) (Open)
Utilization Review Nurse, Part-Time, Remote (Evergreen) (Open)
8 days ago
Netsmart
- From: United States (Full Remote)
- Part time
Utilization ManagementNurse Licensure CompactInterQual Criteria
UM Clinical Team Lead
UM Clinical Team Lead
30+ days ago
Lifelancer
- From: United States, New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 84 - 94K
Medical Insurance ClaimsInterQual CriteriaUtilization Management
RN Utilization Management (Relief)
RN Utilization Management (Relief)
22 days ago
St. Charles Health System
- From: United States (Full Remote)
- Part time
Utilization ManagementPatient Progress NotesMedical NecessityProcess Improvement
Supervisor, Clinical Review Mountain and Pacific Time Zones
Supervisor, Clinical Review Mountain and Pacific Time Zones
30+ days ago
Comagine Health
- From: United States (Full Remote)
- Senior (5-10 years)
- 81 - 113K
Clinical Data Analysis
Supervisor, Clinical Review Mountain and Pacific Time Zones
Supervisor, Clinical Review Mountain and Pacific Time Zones
30+ days ago
Comagine Health
- From: United States (Full Remote)
- Full time
Medical Management
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Discharge PlanningCare CoordinationClinical Assessments
