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27 Remote Clinical Decision-Making jobs in Springfield, Massachusetts, United States

Browse 27 Clinical Decision-Making jobs in Springfield, Massachusetts, United States.

27 jobs
Guidehouse logoGU

Clinical Denials and Appeals RN

Guidehouse

United States (Remote)

$68K – $113K Yearly3w ago
Clinical Appeals Nurse
Nursing
InterQual
Milliman Care Guidelines
Centene Corporation logoCC

Clinical Review Nurse - Concurrent Review

Centene Corporation

United States (Remote)

$27 – $49 Hourly3w ago
Concurrent Review Nursing
Utilization Management
Concurrent Review
Medical Necessity Reviews
Point32Health logoPO

Clinical Reviewer, Inpatient RN

Point32Health

Massachusetts, United States (Remote)

$94.1K – $141.2K Yearly1mo ago
Utilization Management
Case Management
Utilization Management
Inpatient Care
Molina Healthcare, Inc. logoMH

Care Review Clinician (RN)

Molina Healthcare, Inc.

United States (Remote)

2w ago
Clinical Review
Utilization Management
Clinical Guidelines
Medical Necessity Review
MP

Clinical Quality Improvement Advisor II - Registered Nurse

Mountain Pacific

United States (Remote)

$70K – $90K Yearly5d ago
Clinical Quality Improvement
Registered Nurse
Quality Improvement
End-Stage Renal Disease (ESRD)
Centene Corporation logoCC

Clinical Review Nurse - Concurrent Review

Centene Corporation

United States (Remote)

$27 – $49 Hourly2w ago
Concurrent Review Nurse
Utilization Management Nurse
Concurrent Review
Medical Management
Journey Clinical logoJC

Journey Clinical is seeking a Psychiatric-Mental Health Nurse Practitioner (PMHNP)

Journey Clinical

California, United States + 18 more (Remote)

2mo ago
Nurse Practitioner
Psychiatric Nursing
Psychiatric-Mental Health
Ketamine-Assisted Psychotherapy
CareSource logoCA

Remote - Registered Nurse (RN) Clinical Care Reviewer - Massachusetts only

CareSource

Massachusetts, United States (Remote)

$62.7K – $100.4K Yearly2w ago
Utilization Management
Registered Nurse
Utilization Management
Utilization Review
Alight Services India Private Limited logoAS

Clinical Case Manager-RN

Alight Services India Private Limited

United States (Remote)

$95K – $125K Yearly3w ago
Clinical Case Management
Registered Nurse
MDGuidelines
Case Management
Willow Health logoWH

Remote Crisis Care Nurse Practitioner

Willow Health

United States (Remote)

$100 – $110 Hourly4w ago
Crisis Care Nurse Practitioner
Behavioral Health
Psychiatric Medication Management
Differential Diagnosis
LifeMD logoLI

Assistant Clinical Manager - NP

LifeMD

United States (Remote)

$165K – $170K Yearly2w ago
Nurse Practitioner
Clinical Manager
Telehealth
Nurse Practitioner
Devoted Health logoDH

Triage Clinical Guide (Registered Nurse) – Night Shift

Devoted Health

United States (Remote)

$95K – $110K Yearly2w ago
Registered Nurse
Telephonic Triage Nurse
Registered Nurse (RN)
Clinical Triage
Sagility logoSA

RN Utilization Management Reviewer

Sagility

United States (Remote)

$35 – $40 Hourly2mo ago
Utilization Management
Registered Nurse
Utilization Management
InterQual
Centene Corporation logoCC

Senior Clinical Trainer & Auditor (Registered Nurse)

Centene Corporation

United States (Remote)

$70.1K – $126.2K Yearly7d ago
Clinical Training
Nursing Education
Clinical Training
Clinical Auditing
Clover Health logoCH

Utilization Management, Registered Nurse (RN)

Clover Health

United States (Remote)

$90K – $106K Yearly2w ago
Utilization Management
Prior Authorization
Utilization Management
Medical Necessity Reviews
Centene Corporation logoCC

Clinical Review Nurse - Concurrent Review

Centene Corporation

United States (Remote)

$27 – $49 Hourly7d ago
Clinical Review Nurse
Concurrent Review Nurse
Concurrent Review
Medical Management
CareSource logoCA

Triage Nurse Evenings - Compact State Licensed RN

CareSource

United States (Remote)

$62.7K – $100.4K Yearly2w ago
Telehealth Nursing
Telephone Triage
Triage
Telephone Triage

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