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
29 jobs
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Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- Remote: United Kingdom
- Senior (5-10 years)
- 81 - 113K
Medical ManagementMedicaid Management Information Systems (MMIS)Recruitment StrategiesUtilization ManagementInterQual CriteriaOrganizational Structure
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
RN Clinical Grievance Analyst
RN Clinical Grievance Analyst
10 day ago
Strategic Staffing Solutions
- Remote: Michigan (USA)
- Freelance
Grievance ArbitrationClinical DocumentationMedical AbbreviationsE-MDs (EMR/EHR System)InterQual CriteriaMedicare Advantage
Clinical Reviewer - LPN
Clinical Reviewer - LPN
15 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Utilization ManagementClinical NursingManaged CareMedical Record ManagementMedical AbbreviationsElectronic Referrals
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
4 day ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
Medical ManagementClinical AssessmentsUtilization ManagementMedical GuidelineCompliance ManagementInterQual Criteria
Clinical Product Consultant - UM
Clinical Product Consultant - UM
19 day ago
Iodine Software
- Remote: Texas (USA)
- Full time
Utilization ManagementProject ManagementClinical AssessmentsInterQual CriteriaCare ManagementChronic Care
Nurse Practitioner (Ocean, New Jersey)
Nurse Practitioner (Ocean, New Jersey)
15 day ago
CareCentrix
- Remote: New Jersey (USA)
- Full time
Utilization ManagementAcute Care NursingClinical AuditingBasic Patient CareMedical Record ManagementInterQual Criteria
Clinical Care Reviewer, Pediatric Shift Care, RN
Clinical Care Reviewer, Pediatric Shift Care, RN
12 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Utilization ManagementNursingPediatricsClinical AssessmentsClinical InformaticsInterQual Criteria
Full-Time RN Case Manager (UR Focused) | Texas
Full-Time RN Case Manager (UR Focused) | Texas
24 day ago
Beam Healthcare
- Remote: Texas (USA)
- Full time
Care CoordinationCare ManagementDischarge PlanningUtilization ManagementInterQual CriteriaInpatient Care
Utilization review Nurse
Utilization review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Nurse, Utilization Management Reviewer.
Nurse, Utilization Management Reviewer.
30+ days ago
DCX PH Inc.
- Remote: United States
- Full time
- Mid-level (2-5 years)
Medical NecessityUtilization ManagementMedicareHealth Services ResearchInterQual CriteriaInternal Documentation
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 ManagementNurse Licensure CompactInterQual CriteriaClinical Data AnalysisMedical Record Management
OTA - Utilization Management Reviewer
OTA - Utilization Management Reviewer
30+ days ago
DCX PH Inc.
- Remote: United States
- Full time
- Mid-level (2-5 years)
Medical NecessityUtilization ManagementService ReviewClinical DocumentationCare Management SoftwareInterQual Criteria
Utilization Review Nurse-Weekends-Remote
Utilization Review Nurse-Weekends-Remote
21 day ago
Sentara Healthcare
- Remote: United States
- Full time
Care CoordinationUtilization ManagementAcute CarePrior AuthorizationInterQual CriteriaNurse Licensure Compact
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 ManagementPerformance ImprovementRegulatory ComplianceCustomer Centricity
Trainer/ Quality RN
Trainer/ Quality RN
30+ days ago
Advantasure
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 67 - 98K
CPT CodingNastran (Computer-Aided Design Software)Care ManagementRocksDBICD 503Project 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 AnalysisCase Management SystemsNurse Licensure CompactMedical ManagementInterQual CriteriaClinical Assessments
Utilization Review – RN
Utilization Review – RN
30+ days ago
Advantasure
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Online CommunicationInterQual CriteriaClinical AssessmentsCare Management
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 ManagementManaged CareAnalyticsAuditing
Medical Review Nurse (RN)
Medical Review Nurse (RN)
14 day ago
ICONMA
- Remote: United States
- Full time
InterQual CriteriaClinical AssessmentsPrior AuthorizationMedical AbbreviationsCall Center ExperienceMedicare
LPN/LVN Utilization Management Reviewer
LPN/LVN Utilization Management Reviewer
30+ days ago
DCX PH Inc.
- Remote: United States
- Full time
- Mid-level (2-5 years)
Medical NecessityUtilization ManagementService ReviewClinical DocumentationInterQual CriteriaEvaluation Of Care
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: United States
- Full time
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Clinical Reviewer - LPN
Clinical Reviewer - LPN
30+ days ago
TriWest Healthcare Alliance
- Remote: United States, Azerbaijan, Arizona (USA)
- Senior (5-10 years)
- 58 - 74K
Managed CareClinical NursingMedical NecessityUtilization ManagementClinic Management SystemsInterQual Criteria
Physician Advisor
Physician Advisor
30+ days ago
Med-Metrix
- Remote: United States
- Full time
- Mid-level (2-5 years)
Patient SafetyUtilization ManagementEmergency Medical DispatchInterQual CriteriaMedical Licensing (Health Law)Physician Credentialing
Utilization Management Nurse
Utilization Management Nurse
22 day ago
ProgenyHealth, LLC
- Remote: United States
- Full time
Discharge PlanningNursingClinical AssessmentsIntensive Care MedicineElectronic Health Record ApplicationsData Entry
Medical Director
Medical Director
30+ days ago
WellSense Health Plan
- Remote: United States, Massachusetts (USA)
- Expert & Leadership (>10 years)
Medical ManagementUtilization ManagementInterQual CriteriaMedical Record ManagementMedicarePrior Authorization
PTA - Utilization Management Reviewer
PTA - Utilization Management Reviewer
30+ days ago
DCX PH Inc.
- Remote: United States
- Full time
- Mid-level (2-5 years)
Medical NecessityInterQual CriteriaService ReviewClinical DocumentationCare Management SoftwareUtilization Management
