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 Yearly2 wk. ago

Registered Nurse

Compact Registered Nurse (RN) License

Nurse Reviewer (Registered Nurse) - Remote in US (Any city, AL, US, 99999)

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$78–88K Yearly4 wk. ago

Nursing

Claims Auditing

Registered Nurse (RN) Lead, Home Health Utilization Management

Clover Health·United States (Remote)

Clover Health

United States (Remote)

$130.8–170K Yearly1 day 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

RN License

Utilization Review Nurse-LVN/LPN

Personify Health·United States (Remote)

Personify Health

United States (Remote)

$25.00 – $29.00 Hourly2 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 Yearly3 days ago

Case Management

Utilization Review Nursing

Prior Authorization

PRN Clinical Review Nurse (RN)

CorroHealth·United States (Remote)

CorroHealth

United States (Remote)

1 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 Yearly1 mo. ago

RN License

Peer to Peer Nurse Author RN

R1 RCM Holdco Inc.·United States (Remote)

R1 RCM Holdco Inc.

United States (Remote)

$65.5–96.9K Yearly3 wk. ago

Peer-to-Peer Nurse

RN License

RN Utilization Review

Sedgwick·United States (Remote)

Sedgwick

United States (Remote)

$63–65K Yearly2 wk. ago

RN Case Manager

Clinical Assessment

Utilization Management Nurse, RN

Altais Health Solutions·United States (Remote)

Altais Health Solutions

United States (Remote)

$45.00 – $54.00 Hourly1 day ago

Utilization Review RN

ICD-10

Utilization Management RN

GuideWell·United States (Remote)

GuideWell

United States (Remote)

3 days 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

Registered Nurse (RN), Home Health Utilization Management

Clover Health·United States (Remote)

Clover Health

United States (Remote)

$92.3–120K Yearly4 wk. ago

Clinical Review Nursing

CMS Regulations

Medicare Advantage

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

Utilization Management RN (Discharge & Auth) Weekends Required

Humana·Kentucky, United States + 7 more (Remote)

Humana

Kentucky, United States + 7 more (Remote)

$71.1–97.8K Yearly2 wk. ago

RN Case Manager

Registered Nurse (RN)

(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)

1 wk. ago

Care Management