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Evidence-Based Guidelines Remote Jobs

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9 fresh jobs found
Utilization Review Nurse
Remote Oscar logo Oscar
Level of Care Reviews Medical necessity reviews RN licensure Evidence-Based Guidelines Treatment Clinical Guidelines Clinical Judgment Clinical Review Clinical Practice +14
Mid Full Time
USD 70K+
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Associate Medical Director, Orthopedic Surgery
United States Cohere Health logo Cohere Health  Remote-first
Orthopedic surgery Peer-to-peer discussions Evidence-Based Guidelines Clinical reviews Clinical Intelligence Clinical Review Medical necessity Clinical Acumen Utilization Review +11
Senior Mid Full Time
USD 200K+
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Associate Medical Director, Spine Surgery
United States Cohere Health logo Cohere Health  Remote-first
Neurosurgery Orthopedic surgery Spine surgery Peer-to-peer discussions Evidence-Based Guidelines Clinical reviews Clinical Intelligence Clinical Review Medical necessity +14
Senior Mid Full Time
USD 250K+
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Clinical Denials and Appeals RN
Home Office: Birmingham, AL, United States Guidehouse logo Guidehouse
Mid-revenue cycle Clinical terminology Medical records assembly Denial analysis Documentation integrity Medical record reviews Medical Necessity Review Clinical appeals Evidence-Based Guidelines +18
Mid Full Time
USD 68K+
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Associate Medical Director, Utilization Management
United States Cohere Health logo Cohere Health  Remote-first
Medical necessity documentation Managed Care Knowledge Peer-to-peer discussions Clinical Decision Making Evidence-Based Guidelines Software tools Gastroenterology Clinical Intelligence Patient outcomes +18
Senior Mid Full Time
USD 200K+
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Clinical Appeals Nurse
Remote, GA, United States R1 RCM logo R1 RCM
Clinical appeals Denials management Evidence-Based Guidelines Denials Clinical Judgment Regulatory knowledge Basic Computer Intelligent Automation Workflow Orchestration +14
Mid Full Time
USD 65K+
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Clinical Denials and Appeals RN
Home Office: Birmingham, AL, United States Guidehouse logo Guidehouse
Clinical terminology Denial analysis Medical records assembly Mid-revenue cycle Medical record reviews Documentation integrity Clinical appeals Medical Necessity Review Evidence-Based Guidelines +18
Mid Full Time
USD 68K+
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Telephonic Nurse Case Manager
Indianapolis, IN, United States Berkley logo Berkley
Nursing Licensure Vocational services Disability case management Medical Case Management Evidence-Based Guidelines Clinical Practices Workers Compensation Quality improvement Insurance +2
Mid Full Time
USD 80K+
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Workers Compensation - Telephonic Nurse Case Manager
Indianapolis, IN, United States Berkley logo Berkley
Nursing Licensure Vocational services Disability case management Medical Case Management Evidence-Based Guidelines Clinical Practices Workers Compensation Quality improvement Insurance +2
Mid Full Time
USD 80K+
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