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Concurrent review Remote Jobs

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5 fresh jobs found
RN Reviewer
United States Cohere Health logo Cohere Health  Remote-first
MCG Care Guidelines Retrospective review Concurrent review Accreditation Compliance Healthcare programs Accreditation Quality Metrics Clinical Intelligence Patient outcomes +20
Mid Full Time
USD 70K+
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Weekend RN Reviewer
United States Cohere Health logo Cohere Health  Remote-first
Concurrent review Healthcare programs Accreditation Quality Metrics Clinical Intelligence Patient outcomes Clinical Review Medical necessity Utilization Review +18
Mid Full Time
USD 66K+
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Clinical Case Manager Behavioral Health DSNP- Spanish Speaking
Work At Home - Utah, United States CVS Health logo CVS Health
Substance abuse knowledge Clinical Case Management Substance abuse disorders Provider coordination Concurrent review Bilingual Spanish and English Spanish Speaking Community Resource Coordination Substance abuse +32
Mid Full Time
USD 54K+
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Utilization Review Nurse Consultant - Oncology and Transplant
Work At Home-Arizona, United States CVS Health logo CVS Health
Evidence-based criteria Transplant Clinical call center Concurrent review Clinical Practice Guidelines Telephone Communication Navigating multiple systems Clinical Criteria Disease Management +21
Entry Mid Full Time
USD 52K+
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Utilization Management Nurse Consultant
Work At Home-Nevada, United States CVS Health logo CVS Health
Clinical call center Clinical Judgement Concurrent review Long Term Care Benefit management Benefit utilization Clinical Criteria Home Health Disease Management +19
Mid Full Time
USD 58K+
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