80 Remote Clinical Utilization Review jobs

Behavioral Health Clinician

Behavioral Health

Registered Nurse (RN), Home Health Utilization Management

Clover Health·United States (Remote)

Clover Health

United States (Remote)

$92.3K – $120K Yearly3w ago

Clinical Review Nursing

CMS Regulations

Medicare Advantage

Supervisor, Utilization Management

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$75.3K – $135.4K Yearly4w ago

Clinical Management

Prior Authorization

Utilization Review Nurse-LVN/LPN

Personify Health·United States (Remote)

Personify Health

United States (Remote)

$25 – $29 Hourly7d ago

Utilization Review Nurse

LVN/LPN Nursing

Medical Necessity Review

Supervisor, Utilization Management (RN)

Centene Corporation·California, United States (Remote)

Centene Corporation

California, United States (Remote)

$75.3K – $135.4K Yearly3w ago

Clinical Management

Utilization Review Nurse/ Registered Nurse (RN) for LTSS Waiver/Medicaid - Remote in Virginia

Sentara Health·Virginia, United States (Remote)

Sentara Health

Virginia, United States (Remote)

4w ago

Utilization Review Nurse

Registered Nurse (RN) License

Utilization Review RN - Remote in TX - Contract

HireOps Staffing·Texas, United States (Remote)

HireOps Staffing

Texas, United States (Remote)

$40 – $40 Hourly5d ago

Utilization Review Nurse

Registered Nurse

Utilization Management Nurse

Registered Nurse

Care Review Clinician (RN) Remote (KY RN License or Compact)

Molina Healthcare, Inc.·Kentucky, United States + 1 more (Remote)

Molina Healthcare, Inc.

Kentucky, United States + 1 more (Remote)

1w ago

Care Review Clinician

Prior Authorization

Managed Care

Care Review Clinician (RN) Remote

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

1w ago

Clinical

Clinical Review

Case Management

Care Review Clinician (RN) Remote (AZ)

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

Molina Healthcare, Inc.

Arizona, United States (Remote)

1w ago

Clinical

Clinical Review

Registered Nursing (RN)

Care Review Clinician (RN) - Remote in FL

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

Molina Healthcare, Inc.

Florida, United States (Remote)

4d ago

Care Review Clinician

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)

4d ago

Discharge Planning

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

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$78K – $88K Yearly2w ago

Nursing

Utilization Review Nursing

Claims Auditing

Utilization Review Nurse - LVN / LPN

Personify Health·United States (Remote)

Personify Health

United States (Remote)

$25 – $31 Hourly2d ago

Care Management

LPN (LVN) License

Medical Claims

Care Review Clinician (RN) Remote

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

1w ago

Care Review Clinician

Utilization Management RN

Utilization Management Nurse

Medicaid

Utilization Management Registered Nurse (RN) - Remote

Guidehealth·United States (Remote)

Guidehealth

United States (Remote)

$70K – $75K Yearly4w ago

Registered Nurse

Medical Necessity Criteria

Utilization Management Specialist (Home-Based) - Prior Authorization

Sanford Health·United States (Remote)

Sanford Health

United States (Remote)

$28 – $39 Hourly5d ago

Nursing

Utilization Management Nurse

Prior Authorization

Peer to Peer Nurse Author RN

R1 RCM Holdco Inc.·United States (Remote)

R1 RCM Holdco Inc.

United States (Remote)

$65.5K – $96.9K Yearly2w ago

Peer-to-Peer Nurse

RN License

RN Appeals Analyst

CGS Administrators, LLC·United States (Remote)

CGS Administrators, LLC

United States (Remote)

5d ago

RN Appeals Analyst

Clinical Review Nurse

Microsoft Office