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Clinical Guidelines Remote Jobs

17 fresh jobs found

Health Coach - Registered Dietitian
Work At Home-Texas

Lifestyle Behavior Change Diet Planning Weight management Medical Nutrition Therapy Clinical Tools Holistic approach Data Review Clinical Guidelines Health coaching +24

Senior Mid Full Time

USD 46K+

Health Coach - Registered Dietitian
Work At Home-California

Lifestyle Behavior Change Diet Planning Weight management Medical Nutrition Therapy Clinical Tools Health coaching Holistic approach Data Review Clinical Guidelines +24

Senior Mid Full Time

USD 51K+

Clinical Quality Nurse Reviewer, Sr. Specialist - (RN Remote in US)
Any city, NC, US, 99999

Gainwell Technologies

Clinical quality review InterQual criteria Chart Audits Clinical criteria guidelines Productivity standards Medical Record Review RN license InterQual Clinical Criteria +28

Senior Full Time

USD 64K+

Appeals Review Nurse
Remote

NCCN Medical decision support tools Level of care reviews Medical necessity reviews Milliman care guidelines Evidence-Based Guidelines InterQual MCG Clinical Guidelines +16

Entry Mid Full Time

USD 70K+

Medical Director - Northeast Region
Remote US

Commercial health insurance Post-acute services Grievance and appeals processes Outpatient services Coding practices Clinical group practice management Judgement Inpatient rehabilitation Hospitalist +80

Exec Senior Full Time

USD 199K+

Utilization Review RN - Remote
Home Office: Birmingham, AL

Payer regulations Managed care trends Coding terminology Medical necessity reviews Clinical terminology Clinical Guidelines Medical Records Utilization management Productivity +20

Senior Mid Full Time

USD 86K+

Medical Director- South Central
Remote US

Post-acute services Clinical group practice management Clinical Standards Grievance and appeals processes Outpatient services Coding practices Inpatient rehabilitation Medical background Clinical reference materials +78

Exec Senior Full Time

USD 199K+

Medical Director - Home Health - OneHome/Home Solutions
Remote US

Dynamic Environment Interpretative CMS Medicare Clinical Standards Inpatient Care Clinical reference materials Humana policies Medical interpretation CMS policies +44

Exec Senior Full Time

USD 199K+

Utilization Review Nurse
Remote

Level of care reviews Medical necessity reviews Evidence-Based Guidelines Clinical Guidelines Acute care RN licensure Clinical Practice Clinical Review Utilization Review +11

USD 70K+

Medical Director - Acute Rehab Team
Remote US

Acute inpatient rehabilitation Humana policies Clinical reference materials Medical interpretation Medical background CMS policies Hospitalist Inpatient rehabilitation National Guidelines +52

Exec Senior Full Time

USD 199K+

Senior Director, Clinical Product Strategy (Obesity & Metabolic Health)
Any Location (Remote)

Care Delivery Innovation Clinical Obesity Medicine Patient Empowerment Patient Experience Optimization Clinical Guidelines Protocol Development Cross-functional Team Leadership Stakeholder Collaboration Healthcare Technology +10

Senior Full Time

USD 287K+

Medical Director, Durable Medical Equipment - Work from home - Evernorth
Tennessee Work at Home

The Cigna Group

Guideline review State and federal laws Case processing Educational training Clinical resource Ncqa standards Board certification Urac standards Medical Review +15

Exec Senior Full Time

USD 196K+

ABA Utilization Management Clinical Consultant
Work At Home-Oklahoma

ABA therapy Claims review Clinical Practice Guidelines Benefit utilization Clinical Criteria Benefit management Clinical Guidelines Electronic Medical Records Evidence-Based Care +25

USD 52K+

Clinical Peer Reviewer (Psychologist-Behavior Analyst) – Evernorth Health Services - Remote
Minnesota Work at Home

The Cigna Group

Behavioral health consulting Managed care experience Psychiatric diagnosis Clinical policy development Clinical Guidelines Provider Relations Health Services Clinical Training Medical necessity +23

Senior Mid Full Time

USD 103K+

Utilization Review RN - Remote - NY License Required
Home Office: Atlanta, GA

Coding terminology Medical necessity reviews Clinical terminology Clinical Guidelines Productivity Medical Records Utilization management Managed Care Microsoft PowerPoint +16

USD 86K+

Consultant Endocrinologist- Part Time (1 hour per month- Remote)
Bracknell, England, United Kingdom - Remote

Clinical Guidelines Healthcare Delivery Endocrinology Clinical expertise Patient care Healthcare Problem-solving Communication

Entry Senior Part Time

GBP 400K+

Behavioral Health Utilization Management Clinician I - RN, LPN, LICSW, LMHC, LMFT
Seattle, Washington, United States; Portland, Oregon, United States; Boise, Idaho, United States

Community Health Plan of Washington

Physical Health Care management workflow systems Workflow systems Clinical Guidelines Utilization Review Discharge planning Patient advocacy Care Coordination Utilization management +9

USD 70K+

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