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Medical Necessity jobs

Explore Medical Necessity roles on NurseBloom and apply today.

Centene Corporation logoCC

Clinical Review Nurse - Prior Authorization

Centene Corporation

New York, United States (Remote)

$27 – $49 Hourly1w ago
Molina Healthcare, Inc. logoMH

Care Review Clinician (RN)

Molina Healthcare, Inc.

United States (Remote)

3d ago
Hill Physicians Medical Group logoHP

Authorization Nurse, RN - 26-28

Hill Physicians Medical Group

California, United States (Remote)

$100K – $120K Yearly4w ago
Lehigh Valley Health Network logoLV

Pre-Certification - Registered Nurse

Lehigh Valley Health Network

Pennsylvania, United States (Remote)

1w ago
SSM Health logoSH

RN-Utilization Review (S)

SSM Health

Illinois, United States + 3 more (Remote)

3d ago
Hill Physicians Medical Group logoHP

Authorization Nurse, RN (Hybrid - Remote Considered) - 26-48

Hill Physicians Medical Group

Sacramento, California, United States (Hybrid)

$100K – $123K Yearly2d ago
Centene Corporation logoCC

Clinical Review Clinician_Appeals

Centene Corporation

Maryland, United States + 1 more (Remote)

$27 – $49 Hourly2d ago
Centene Corporation logoCC

Clinical Review Nurse - Concurrent Review

Centene Corporation

New York, United States (Remote)

$27 – $49 Hourly1w ago
Sagility logoSA

RN Utilization Management Reviewer

Sagility

United States (Remote)

$35 – $40 Hourly1mo ago
Guidehouse logoGU

Clinical Denials and Appeals RN

Guidehouse

United States (Remote)

$68K – $113K Yearly2w ago
Centene Corporation logoCC

NICU Clinical Review Nurse - Concurrent Review

Centene Corporation

Oklahoma, United States (Remote)

$27 – $49 Hourly2d ago
Molina Healthcare, Inc. logoMH

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

Molina Healthcare, Inc.

California, United States (Remote)

2w ago
CareSource logoCA

Clinical Appeals Nurse

CareSource

Indiana, United States (Remote)

$62.7K – $100.4K Yearly1w ago
E2E Alignment Healthcare USA, LLC logoEA

Utilization Management (UM) – Pre-Service (Remote | California RN / LVN | Pacific Time Schedule)

E2E Alignment Healthcare USA, LLC

Alabama, United States + 28 more (Remote)

$77.9K – $116.9K Yearly3w ago
Ochsner Health logoOH

Revenue Cycle Precertification Nurse- LPN- PRN- Remote

Ochsner Health

Colorado, United States + 11 more (Remote)

5d ago
Centene Corporation logoCC

Clinical Review Nurse - Concurrent Review

Centene Corporation

United States (Remote)

$27 – $49 Hourly2d ago
Clover Health logoCH

Utilization Management, Registered Nurse (RN)

Clover Health

United States (Remote)

$90K – $106K Yearly4d ago
Astrana Health, Inc. logoAH

UM Review Nurse - LVN

Astrana Health, Inc.

California, United States (Remote)

$34 – $47 Hourly3d ago