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InterQual Remote Jobs

10 fresh jobs found

Clinical Appeal Nurse - Remote $10K Sign on Bonus
United States

Tenet Healthcare

Patient accounting knowledge Electronic tools Medical necessity criteria Denials management ACE InterQual UB04 Patient Accounting Managed Care Contracts +32

USD 92K+

Medical Director - Home Health - OneHome/Home Solutions
Remote US, United States

CMS Medicare Collaborative relationships LCD NCD Inpatient care Clinical patient care Team culture CMS policies Clinical reference materials +50

Exec Senior Full Time

USD 223K+

Concurrent Utilization Review Nurse (Work from Home)
California, United States

Care transitions Education and collaboration Medical necessity determination Case assessment Authorization processes Compliance Documentation MCG InterQual Clinical Review +10

USD 74K+

Utilization Review Nurse(Austin/Richardson TX) (Remote)
Texas, Plano, United States of America

Bracane Company

Clinical Data Collection InterQual MCG Registered Nurse Care Coordination Utilization management Medical terminology RN Managed Care +1

USD 76K+

Medical Director - Florida
Remote US, United States

Clinical patient care Health claims Managed Care Knowledge Post-acute services Home health services Family practice Inpatient rehabilitation Hospitalist National Guidelines +73

Exec Senior Full Time

USD 223K+

RC Appellate Clinician - Remote
United States

Tenet Healthcare

Electronic tools Medical necessity criteria ACE Denials management UB04 Patient Accounting InterQual Managed Care Contracts EOB +29

USD 92K+

Medical Director - Medicaid N. Central
Remote US, United States

Health claims review Computer-Based Review Post-acute services Grievance and appeals processes Post-acute care Humana policies Family practice Clinical group practice management Medical interpretation +92

Exec Senior Full Time

USD 223K+

RC Appellate Clinician - Remote
United States

Tenet Healthcare

Medical necessity criteria UB04 Denials management Patient Accounting Managed Care Contracts InterQual EOB Healthcare industry expertise Healthcare Management +27

USD 92K+

Medical Director - Care Plus
Remote US, United States

Grievance processes Health claims review Outpatient services Grievance and appeals processes Post-acute care Clinical group practice management Commercial health insurance Hospitalist Inpatient rehabilitation +90

Exec Senior Full Time

USD 223K+

Medical Director - Mid West Region
Remote US, United States

Computer-Based Review Outpatient services Grievance and appeals processes Post-acute care Humana policies Hospitalist Medical interpretation National Guidelines Family practice +83

Exec Mid Full Time

USD 223K+

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