25 Remote Medical Necessity Review jobs in Pennsylvania, United States

Medical Claims Evaluation

Medical Record Reviews

RN Care Coordinator - RN in Pennsylvania (Westmorland, Washington, Fayette, Green or Somerset Counties)

Highmark Health·Pennsylvania, United States (Hybrid)

Highmark Health

Pennsylvania, United States (Hybrid)

$72.7–116.6K Yearly1 mo. ago

RN Care Coordinator

Care Management

Motivational Interviewing

Care Coordination

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

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

2 mo. ago

Medical Review Nurse

Utilization Review Nurse

ICD-10

CPT Coding

Clinical Review Nurse - Concurrent Review

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$27.00 – $49.00 Hourly2 days ago

Concurrent Review Nursing

Clinical Review Nurse - Concurrent Review

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$27.00 – $49.00 Hourly2 days ago

Medical Review Nurse

Clinical Review Nurse - Concurrent Review

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$27.00 – $49.00 Hourly4 days ago

Clinical Review Nurse - Concurrent Review

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$27.00 – $49.00 Hourly1 day ago

Clinical Review Nurse - Concurrent Review

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$27.00 – $49.00 Hourly1 day ago

Clinical Review Nurse - Concurrent Review

Centene Corporation·Pennsylvania, United States (Remote)

Centene Corporation

Pennsylvania, United States (Remote)

$27.00 – $49.00 Hourly4 days ago

Concurrent Review Nursing

Clinical Review Nurse - Concurrent Review

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$27.00 – $49.00 Hourly2 days ago

Prior Authorization Nurse

Clinical Review Nurse - Prior Authorization

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$27.00 – $49.00 Hourly2 days ago

Clinical Review Nurse

Utilization Review Nursing

Prior Authorization

Utilization Review RN - Utilization Management FT

Providence·United States (Remote)

Providence

United States (Remote)

3 days ago

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

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$78–88K Yearly8 mo. ago

Case Management

Prior Authorization

Utilization Review RN

Ensemble Health Partners·United States (Remote)

Ensemble Health Partners

United States (Remote)

$63.1–94.7K Yearly2 days ago

Utilization Review RN

Utilization Review Nurse

RN Utilization Management Reviewer

Sagility·United States (Remote)

Sagility

United States (Remote)

$35.00 – $40.00 Hourly1 yr. ago

InterQual

Utilization Management Registered Nurse (RN) - Remote

Guidehealth·United States (Remote)

Guidehealth

United States (Remote)

$70–75K Yearly2 wk. ago

Utilization Review RN

Medical Necessity Criteria

Care Review Clinician (RN) Remote

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

2 mo. ago

Care Review Clinician

Utilization Management RN

Registered Nurse (RN)

Medicaid

RN Utilization Management

Arkansas Blue Cross·United States (Remote)

Arkansas Blue Cross

United States (Remote)

4 wk. ago

Microsoft Word

Microsoft Excel

Case Manager / RN (Licensed in all 50 states)

MedWatch·United States (Remote)

MedWatch

United States (Remote)

$72–81K Yearly1 mo. ago

Case Management

Case Management

Registered Nurse (RN)

Utilization Management Registered Nurse (RN) - Remote

Guidehealth·United States (Remote)

Guidehealth

United States (Remote)

$70–75K Yearly2 mo. ago

Medical Necessity Criteria