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Independent External Review jobs

Explore Independent External Review roles on NurseBloom and apply today.

Clinical Appeals

CareSource·Indiana, United States (Remote)

CareSource

Indiana, United States (Remote)

$62.7K – $100.4K Yearly2d ago

Clinical Appeals Nurse

CareSource·Indiana, United States (Remote)

CareSource

Indiana, United States (Remote)

$62.7K – $100.4K Yearly1w ago

Clinical Appeals

Utilization Management

Clinical Appeals

State Hearings

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 Yearly3w ago

Nursing

Utilization Review

Claims Auditing

Clinical Care Reviewer II - Nevada Licensed - RN - PST Hours

CareSource·Nevada, United States (Remote)

CareSource

Nevada, United States (Remote)

$62.7K – $100.4K Yearly6d ago

Clinical Care Review

Utilization Management

Medical Necessity Review

Utilization Management

Clinical Care Reviewer II - Nevada Licensed - RN - PST Hours

CareSource·Nevada, United States (Remote)

CareSource

Nevada, United States (Remote)

$62.7K – $100.4K Yearly1mo ago

Utilization Review Nurse

Clinical Reviewer

Utilization Management

Utilization Review

Remote RN – Medical Claims Reviewer

Broadway Ventures·United States (Remote)

Broadway Ventures

United States (Remote)

$31 – $65K Hourly3w ago

Medical Claims Review

Registered Nursing

Medical Claims Review

Registered Nursing

Medical Review Nurse II - SNF/MDS

Performant Recovery, Inc.·United States (Remote)

Performant Recovery, Inc.

United States (Remote)

$84K – $100K Yearly2d ago

Medical Review

Utilization Management

MCG

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

CareSource·United States (Remote)

CareSource

United States (Remote)

6d ago

Clinical Care Reviewer

Utilization Management Nurse

Registered Nursing (RN)

Utilization Management

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

CareSource·Massachusetts, United States (Remote)

CareSource

Massachusetts, United States (Remote)

$62.7K – $100.4K Yearly6d ago

Utilization Management

Registered Nurse

Utilization Management

Utilization Review

RN- Care Review Clinician- Utilization Review (Remote- CA License Req)

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

Molina Healthcare, Inc.

California, United States (Remote)

2w ago

Utilization Review

Care Review Clinician

Utilization Review

Prior Authorization

Care Review Clinician (RN)

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

3d ago

Clinical Review

Utilization Management

Clinical Guidelines

Medical Necessity Review

Clinical Care Reviewer II - Multi State License - RN - Behavioral Health

CareSource·United States (Remote)

CareSource

United States (Remote)

$62.7K – $100.4K Yearly2w ago

Nursing

Utilization Review Nurse

Registered Nurse (RN)

Licensed Social Worker (LSW)

Clinical Review Nurse - Concurrent Review

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$27 – $49 Hourly1w ago

Concurrent Review Nursing

Utilization Management

Concurrent Review

Medical Necessity Reviews

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

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$70K – $80K Yearly3d ago

Utilization Management

Nurse Reviewer

Utilization Review

Medical Records

Nurse Reviewer Appeals and Hearings- Remote (Any city, TX, US, 99999)

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$84K – $95K Yearly3d ago

Nurse Reviewer

Utilization Management

MCG

InterQual

Clinical Reviewer, Inpatient RN

Point32Health·Massachusetts, United States (Remote)

Point32Health

Massachusetts, United States (Remote)

$94.1K – $141.2K Yearly3w ago

Utilization Management

Case Management

Utilization Management

Inpatient Care

Medical Review Nurse II - Home Health

Performant Recovery, Inc.·United States (Remote)

Performant Recovery, Inc.

United States (Remote)

$75K – $80K Yearly2d ago

Nursing

Utilization Management

ICD-10

ICD-9

Registered Nurse (RN) Utilization Reviewer - Massachusetts ONLY

CareSource·Massachusetts, United States (Remote)

CareSource

Massachusetts, United States (Remote)

$62.7K – $100.4K Yearly3mo ago

Utilization Review Nurse

Registered Nurse

Utilization Review

Utilization Management

Clinical Review Clinician_Appeals

Centene Corporation·Maryland, United States + 1 more (Remote)

Centene Corporation

Maryland, United States + 1 more (Remote)

$27 – $49 Hourly2d ago

Medical Review Clinical Appeals Auditor (RN)

Performant Recovery, Inc.·Florida, United States (Remote)

Performant Recovery, Inc.

Florida, United States (Remote)

$80K – $90K Yearly1mo ago