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Medical Necessity Determination jobs

Explore Medical Necessity Determination roles on NurseBloom and apply today.

Molina Healthcare, Inc. logoMH

Care Review Clinician (RN)

Molina Healthcare, Inc.

United States (Remote)

3d 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 - Prior Authorization

Centene Corporation

New York, United States (Remote)

$27 – $49 Hourly1w ago
Hill Physicians Medical Group logoHP

Authorization Nurse, RN - 26-28

Hill Physicians Medical Group

California, United States (Remote)

$100K – $120K Yearly4w ago
SSM Health logoSH

RN-Utilization Review (S)

SSM Health

Illinois, United States + 3 more (Remote)

3d ago
Sagility logoSA

RN Utilization Management Reviewer

Sagility

United States (Remote)

$35 – $40 Hourly1mo ago
Lehigh Valley Health Network logoLV

Pre-Certification - Registered Nurse

Lehigh Valley Health Network

Pennsylvania, United States (Remote)

1w ago
Molina Healthcare, Inc. logoMH

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

Molina Healthcare, Inc.

California, United States (Remote)

2w 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
Guidehouse logoGU

Clinical Denials and Appeals RN

Guidehouse

United States (Remote)

$68K – $113K Yearly2w ago
Humana International Group logoHI

Utilization Management Registered Nurse

Humana International Group

Alabama, United States (Remote)

$71.1K – $97.8K Yearly3w ago
Clover Health logoCH

Utilization Management, Registered Nurse (RN)

Clover Health

United States (Remote)

$90K – $106K Yearly4d ago
Centene Corporation logoCC

Clinical Review Nurse - Concurrent Review

Centene Corporation

New York, United States (Remote)

$27 – $49 Hourly1w ago
CareOregon, Inc. logoCI

Registered Nurse - Utilization Management I

CareOregon, Inc.

Oregon, United States (Remote)

$100.4K – $122.7K Yearly11h ago
CareSource logoCA

Clinical Appeals Nurse

CareSource

Indiana, United States (Remote)

$62.7K – $100.4K Yearly1w ago
Centene Corporation logoCC

NICU Clinical Review Nurse - Concurrent Review

Centene Corporation

Oklahoma, United States (Remote)

$27 – $49 Hourly2d ago
Point32Health logoPO

Clinical Reviewer, Inpatient RN

Point32Health

Massachusetts, United States (Remote)

$94.1K – $141.2K Yearly3w ago
MedWatch logoME

Case Manager / RN

MedWatch

United States (Remote)

$72K – $81K Yearly2w ago