25 Remote Medical Necessity Review jobs in San Jose, California, United States

Behavioral Health

Medical Reviewer (Registered Nurse) - Remote CA (West Sacramento, CA, US, 95605-1630)

Gainwell Technologies LLC·California, United States (Remote)

Gainwell Technologies LLC

California, United States (Remote)

$70–100K Yearly2 wk. ago

Medical Review

Medical Review Specialist

Medical Records Review

Clinical Documentation

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

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

1 wk. ago

Medical Review Nurse

Utilization Review Nurse

ICD-10

CPT Coding

Medical Review Specialist / RN

MedWatch·United States (Remote)

MedWatch

United States (Remote)

$61–68K Yearly2 days ago

Utilization Review Nurse

RN, Utilization Management (Clinical Claims Review)

Humana·United States (Remote)

Humana

United States (Remote)

$71.1–97.8K Yearly1 day ago

Healthcare Claims Review

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

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$78–88K Yearly4 wk. ago

Case Management

Prior Authorization

RN Utilization Management Reviewer

Sagility·United States (Remote)

Sagility

United States (Remote)

$35.00 – $40.00 Hourly1 wk. ago

InterQual

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

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$78–88K Yearly3 wk. ago

Nurse Reviewer

Utilization Review Nurse

Microsoft Windows

Microsoft Outlook

Utilization Management Registered Nurse (RN) - Remote

Guidehealth·United States (Remote)

Guidehealth

United States (Remote)

$70–75K Yearly4 days ago

Utilization Review RN

Medical Necessity Criteria

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare, Inc.·California, United States (Remote)

Molina Healthcare, Inc.

California, United States (Remote)

1 wk. ago

Discharge Planning

Utilization Management RN

Care Review Clinician (RN) Remote

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

2 wk. ago

Care Review Clinician

Medicaid

RN Utilization Management

Arkansas Blue Cross·United States (Remote)

Arkansas Blue Cross

United States (Remote)

7 days ago

Microsoft Word

Microsoft Excel

Utilization Management Clinical Reviewer (California) - Remote

The Cigna Group·California, United States (Remote)

The Cigna Group

California, United States (Remote)

$31.00 – $52.00 Hourly2 days ago

Clinical Review

Utilization Management Nurse, RN

Altais Health Solutions·United States (Remote)

Altais Health Solutions

United States (Remote)

$45.00 – $54.00 Hourly4 wk. ago

Utilization Review RN

ICD-10

Case Manager / RN (Licensed in all 50 states)

MedWatch·United States (Remote)

MedWatch

United States (Remote)

$72–81K Yearly4 wk. ago

Case Management

Case Management

Registered Nurse - Utilization Management - 8 Hour Per Deim

Cedars-Sinai·United States (Remote)

Cedars-Sinai

United States (Remote)

5 days ago

InterQual

MCG

Utilization Management Registered Nurse (RN) - Remote

Guidehealth·United States (Remote)

Guidehealth

United States (Remote)

$70–75K Yearly4 days ago

Utilization Management Nurse, LVN - Casual

Altais Health Solutions·California, United States (Remote)

Altais Health Solutions

California, United States (Remote)

$36.00 – $43.00 Hourly2 wk. ago

Licensed Vocational Nurse

LVN Utilization Review

LVN License (California)

Lead Utilization Management Specialist - Appeals

Sanford Health·United States (Remote)

Sanford Health

United States (Remote)

$29.00 – $47.00 Hourly2 wk. ago

Healthcare Appeals

Appeals Processing

UM Prior Authorization Nurse, RN

NeueHealth·United States (Remote)

NeueHealth

United States (Remote)

$74.3–111.4K Yearly2 wk. ago

Prior Authorization