30 Remote Clinical Decision-Making jobs in Worcester, Massachusetts, United States

Medical Necessity Reviews

Concurrent Review

Care Review Clinician (RN)

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

3w ago

Clinical Review

Clinical Guidelines

Medical Necessity Review

Utilization Management Registered Nurse

Guidehealth·Worldwide (Remote)

Guidehealth

Worldwide (Remote)

$74K – $76K Yearly1h ago

Disability Case Management

Utilization Review

Case Management

RN Clinical Consultant

The Guardian Life Insurance Company of America·United States (Remote)

The Guardian Life Insurance Company of America

United States (Remote)

$69K – $113.3K Yearly4d ago

Clinical Consulting

Registered Nursing

Clinical Consulting

Clinical Quality Improvement Advisor II - Registered Nurse

Mountain Pacific·United States (Remote)

Mountain Pacific

United States (Remote)

$70K – $90K Yearly2w ago

Clinical Quality Improvement

End-Stage Renal Disease (ESRD)

Quality Improvement

Clinical Review Nurse - Concurrent Review

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$27 – $49 Hourly3w ago

Concurrent Review Nurse

Utilization Management Nurse

Concurrent Review

Medical Management

Clinical Care Reviewer II - RN -Multi State License - UM Experience

CareSource·United States (Remote)

CareSource

United States (Remote)

4w ago

Clinical Care Reviewer

Utilization Management Nurse

Registered Nursing (RN)

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

Journey Clinical·California, United States + 18 more (Remote)

Journey Clinical

California, United States + 18 more (Remote)

1h ago

Psychiatric-Mental Health

Psychiatric Nursing

Ketamine-Assisted Psychotherapy

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

CareSource·Massachusetts, United States (Remote)

CareSource

Massachusetts, United States (Remote)

$62.7K – $100.4K Yearly4w ago

Utilization Review

Utilization Review Clinician - RN, PT, or OT - Remote

WellSky Corporation·United States (Remote)

WellSky Corporation

United States (Remote)

4d ago

Clinical Case Manager-RN

Alight Services India Private Limited·United States (Remote)

Alight Services India Private Limited

United States (Remote)

$95K – $125K Yearly4w ago

Clinical Case Management

Crisis Care Nurse Practitioner

MDGuidelines

Case Management

Remote Crisis Care Nurse Practitioner

Willow Health·United States (Remote)

Willow Health

United States (Remote)

$100 – $110 Hourly1h ago

Behavioral Health

Psychiatric Medication Management

Differential Diagnosis

Triage Clinical Guide (Registered Nurse) – Night Shift

Devoted Health·United States (Remote)

Devoted Health

United States (Remote)

$95K – $110K Yearly3w ago

Telephonic Triage Nurse

Registered Nurse (RN)

Clinical Triage

Assistant Clinical Manager - NP

LifeMD·United States (Remote)

LifeMD

United States (Remote)

$165K – $170K Yearly3w ago

Nurse Practitioner (Musculoskeletal Care): Southeast US - Florida

RightMove Health·United States (Remote)

RightMove Health

United States (Remote)

4w ago

Licensed Clinical Social Worker (LCSW)

Musculoskeletal Care

Telehealth

Telephonic Evaluation

Hybrid BH Clinical Care Manager (RN, LICSW, LMHC) - Worcester County

CareSource·Worcester, Massachusetts, United States (Hybrid)

CareSource

Worcester, Massachusetts, United States (Hybrid)

$90K – $120K Yearly2d ago

Clinical Care Management

Behavioral Health

Registered Nurse (RN)

RN Utilization Management Reviewer

Sagility·United States (Remote)

Sagility

United States (Remote)

$35 – $40 Hourly1h ago

InterQual

Clinical Escalations Provider - NP (Part Time)

Hims & Hers Health, Inc.·United States (Remote)

Hims & Hers Health, Inc.

United States (Remote)

$135K – $160K Yearly5d ago

Telehealth