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
36 jobs
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Medical Review Nurse II - Readmissions
Medical Review Nurse II - Readmissions
12 day ago
Performant Corp
- Remote: United States
- Full time
ICD Coding (ICD-9/ICD-10)CPT CodingClinical Auditing
Medical Review Nurse II - Readmissions
Medical Review Nurse II - Readmissions
12 day ago
Performant Corp
- Remote: United States
- Full time
ICD Coding (ICD-9/ICD-10)CPT CodingClinical Auditing
Medical Review Nurse RN
Medical Review Nurse RN
4 day ago
Florida Blue
- Remote: Florida (USA)
- Full time
Clinical Data AnalysisNursingClinical AssessmentsPrior Authorization
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
Healthcare Appeals Clinician RN - Remote $10K sign on bonus
14 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
AppealsInterQual CriteriaMedical Necessity
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
17 day ago
Gainwell Technologies LLC
- Remote: Maine (USA)
- Full time
Utilization ManagementInterQual CriteriaMedical NecessityClinical Documentation
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- Remote: United Kingdom
- Senior (5-10 years)
- 81 - 113K
Medical Management
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare Coordination
Utilization Review Clinician (RN, PT, OT) - Oregon
Utilization Review Clinician (RN, PT, OT) - Oregon
21 day ago
WellSky
- Remote: Oregon (USA)
- Full time
Care CoordinationUtilization ManagementMedical GuidelineNursing
Utilization Review Nurse – LTSS (Contract-to-Perm) - REMOTE
Utilization Review Nurse – LTSS (Contract-to-Perm) - REMOTE
8 day ago
Morgan Stephens
- Remote: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), New York (USA), Ohio (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA)
- Freelance
Utilization ManagementNurse Licensure CompactClinical Documentation
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical Assessments
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical Assessments
Care Manager II Utilization Management
Care Manager II Utilization Management
3 day ago
Sutter Health
- Remote: California (USA)
- Full time
Utilization ManagementTransitional CareClinical Documentation
Healthcare - Care Review Clinician I
Healthcare - Care Review Clinician I
8 day ago
APN Consulting Inc.
- Remote: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), Ohio (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA)
- Full time
Medicaid
Utilization Management Nurse – Behavioral Health Focus (Remote)
Utilization Management Nurse – Behavioral Health Focus (Remote)
19 day ago
Morgan Stephens
- Remote: 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 time
Utilization ManagementBehavioral HealthNurse Licensure Compact
Denial Prevention Nurse Consultant
Denial Prevention Nurse Consultant
20 day ago
Revecore
- Remote: Alabama (USA), Arkansas (USA), Delaware (USA), Florida (USA), Georgia (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Maine (USA), Maryland (USA), Massachusetts (USA), Michigan (USA)
- Full time
Utilization ManagementInterQual Criteria
Clinical Reviewer - LPN
Clinical Reviewer - LPN
30+ days ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Utilization ManagementClinical NursingManaged CareMedical Record Management
Medical Management Auditor - Behavioral Health
Medical Management Auditor - Behavioral Health
3 day ago
Centene Corporation
- Remote: Florida (USA)
- Full time
InterQual CriteriaData EntryAuditingClinical Auditing
Clinical Appeal Nurse - Remote $10K Sign on Bonus
Clinical Appeal Nurse - Remote $10K Sign on Bonus
14 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
InterQual CriteriaMedical Necessity
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- Remote: Texas (USA)
- Full time
Utilization ManagementProject ManagementClinical Assessments
Utilization Review Nurse- FT (9a-9p EST)
Utilization Review Nurse- FT (9a-9p EST)
2 day ago
Netsmart
- Remote: United States
- Full time
Utilization ManagementNurse Licensure CompactInterQual Criteria
Concurrent Utilization Review Nurse (Work from Home)
Concurrent Utilization Review Nurse (Work from Home)
22 day ago
Bright Health
- Remote: California (USA)
- Full time
Utilization ManagementMedical GuidelineElectronic Health Record ApplicationsMedical Necessity
Full-Time RN Case Manager (UR Focused) | Texas
Full-Time RN Case Manager (UR Focused) | Texas
30+ days ago
Beam Healthcare
- Remote: Texas (USA)
- Full time
Care CoordinationCare ManagementDischarge PlanningUtilization Management
Nurse Practitioner (Ocean, New Jersey)
Nurse Practitioner (Ocean, New Jersey)
30+ days ago
CareCentrix
- Remote: New Jersey (USA)
- Full time
Utilization ManagementAcute Care NursingClinical AuditingBasic Patient Care
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
27 day ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
Medical ManagementClinical Assessments
Utilization review Nurse
Utilization review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare Coordination
Utilization Review Nurse(Austin/Richardson TX) (Remote)
Utilization Review Nurse(Austin/Richardson TX) (Remote)
26 day ago
Bracane Company, Inc.
- Remote: Texas (USA)
- Full time
Care CoordinationUtilization ManagementClinical AssessmentsMedical Necessity
Career Opportunities: Nurse Reviewer (Registered Nurse) - Remote in US (26772)
Career Opportunities: Nurse Reviewer (Registered Nurse) - Remote in US (26772)
30+ days ago
Gainwell Technologies LLC
- Remote: United States
- Senior (5-10 years)
- 3 - 75K
Utilization Management
UM Clinical Team Lead
UM Clinical Team Lead
30+ days ago
Lifelancer
- Remote: United States, New York (USA)
- Full time
- Mid-level (2-5 years)
- 84 - 94K
Medical Insurance ClaimsInterQual CriteriaUtilization Management
Supervisor, Clinical Review Mountain and Pacific Time Zones
Supervisor, Clinical Review Mountain and Pacific Time Zones
22 day ago
Comagine Health
- Remote: United States
- Full time
Medical Management
Supervisor, Clinical Review Mountain and Pacific Time Zones
Supervisor, Clinical Review Mountain and Pacific Time Zones
30+ days ago
Comagine Health
- Remote: United States
- Senior (5-10 years)
- 81 - 113K
Clinical Data Analysis
Career Opportunities: Utilization Management Medical Director - Remote in US (28039)
Career Opportunities: Utilization Management Medical Director - Remote in US (28039)
30+ days ago
Gainwell Technologies LLC
- Remote: United States
- Senior (5-10 years)
- 100 - 150K
InterQual CriteriaUtilization Management
Utilization Review Nurse- PT (9a-9p EST)
Utilization Review Nurse- PT (9a-9p EST)
3 day ago
Netsmart
- Remote: United States
- Part time
Utilization ManagementMedical Record ManagementInterQual Criteria
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: United States
- Full time
Discharge PlanningCare CoordinationClinical Assessments
Medical Review Nurse (RN)
Medical Review Nurse (RN)
30+ days ago
ICONMA
- Remote: United States
- Full time
InterQual CriteriaClinical AssessmentsPrior AuthorizationMedical Abbreviations
Physician Advisor
Physician Advisor
30+ days ago
Med-Metrix
- Remote: United States
- Full time
- Mid-level (2-5 years)
Patient SafetyUtilization Management
Utilization Management Nurse
Utilization Management Nurse
30+ days ago
ProgenyHealth, LLC
- Remote: United States
- Full time
Discharge PlanningNursingClinical Assessments
