Jobs on NurseBloom

Medical Necessity Criteria

Registered Nurse

Utilization Management Registered Nurse

Humana International Group·United States (Remote)

Humana International Group

United States (Remote)

$71.1–97.8K Yearly3 wk. ago

Registered Nurse

Compact Registered Nurse (RN) License

Registered Nurse (RN) Lead, Home Health Utilization Management

Clover Health·United States (Remote)

Clover Health

United States (Remote)

$130.8–170K Yearly5 days ago

Registered Nurse (RN) License

Registered Nurse

CMS Regulations

Utilization Review Nurse - RN

Personify Health·United States (Remote)

Personify Health

United States (Remote)

$30.00 – $38.00 Hourly2 wk. ago

Utilization Review Nurse-LVN/LPN

Personify Health·United States (Remote)

Personify Health

United States (Remote)

$25.00 – $29.00 Hourly3 wk. ago

LVN/LPN Nursing

Medical Necessity Review

Utilization Review Nurse- Remote (Any city, AK, US, 99999)

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$78–88K Yearly7 days ago

Case Management

Utilization Review Nursing

Prior Authorization

PRN Clinical Review Nurse (RN)

CorroHealth·United States (Remote)

CorroHealth

United States (Remote)

2 wk. ago

Clinical Review Nurse

Utilization Review RN

Registered Nurse (RN)

EPIC

Utilization Review Nurse - LVN / LPN

Personify Health·United States (Remote)

Personify Health

United States (Remote)

$25.00 – $31.00 Hourly2 wk. ago

Care Management

LPN (LVN) License

Medical Claims

Clinical Guide Part A: Utilization Management Nurse

Devoted Health·United States (Remote)

Devoted Health

United States (Remote)

$85–95K Yearly6 days ago

RN Utilization Review

Sedgwick·United States (Remote)

Sedgwick

United States (Remote)

$63–65K Yearly3 wk. ago

RN Case Manager

Clinical Assessment

Peer to Peer Nurse Author RN

R1 RCM Holdco Inc.·United States (Remote)

R1 RCM Holdco Inc.

United States (Remote)

$65.5–96.9K Yearly4 wk. ago

Peer-to-Peer Nurse

Utilization Management Nurse, RN

Altais Health Solutions·United States (Remote)

Altais Health Solutions

United States (Remote)

$45.00 – $54.00 Hourly5 days ago

Utilization Review RN

ICD-10

Utilization Management RN

GuideWell·United States (Remote)

GuideWell

United States (Remote)

1 wk. ago

RN Nurse

Registered Nurse (RN)

Utilization Management RN

Your IT Recruiter·United States (Remote)

Your IT Recruiter

United States (Remote)

3 wk. ago

Registered Nurse (RN) License

Utilization Review RN

Remote Medical Review Nurse (LVN/LPN)- PST schedule

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

2 wk. ago

Medical Review Nurse

ICD-10

CPT Coding

(RN) Appeals Medical Review Nurse - REMOTE- PST Schedule

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

3 wk. ago

Healthcare Appeals RN

Medical Review Nurse

ICD-10

CPT

RN, Care Manager, Utilization Management (Full-time, Remote)

Adventist Health·United States (Remote)

Adventist Health

United States (Remote)

2 wk. ago

Care Management

Utilization Management Nursing

Optum Inter Qual

Utilization Management RN

Florida Blue·United States (Remote)

Florida Blue

United States (Remote)

6 days ago

Registered Nurse (RN)

Compact State Licensure

Clinical Review Nurse Lead

The Elevance Health Companies, Inc.·United States (Remote)

The Elevance Health Companies, Inc.

United States (Remote)

3 wk. ago

Clinical Review Nurse

Nursing Leadership

Clinical Review

Medical Necessity Review

Nurse Reviewer Appeals and Hearings- Remote (Any city, TX, US, 99999)

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$74.3–106.1K Yearly4 wk. ago

Medical Professionals

Nurse Reviewer