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Utilization Review Remote Jobs
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Utilization Review Remote Jobs
9 fresh jobs found
Psychiatrist - PRN (Remote U.S.)
- Bismarck, ND, United States
CNSI
Medical Information Analysis
Utilization Review
Psychiatry
Utilization management
Clinical expertise
Regulatory Compliance
Strategic planning
Senior
Mid
Full Time
USD 250K+
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Clinical Reviewer - BCBA-D - Part-Time (Remote U.S.)
- United States - Remote
Acentra Health
Applied Behavioral Analysis (ABA)
Pediatric Behavioral Therapy
Clinical Experience
Utilization Review
Prior authorization
Utilization management
Decision making
Clinical expertise
Critical thinking
+2
Senior
Mid
Part Time
USD 144K+
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Utilization Reviews Appeals Registered Nurse
- Remote
Oscar
Medical Necessity Review
Clinical Appeals
Milliman Care Guidelines
Clinical Judgment
Healthcare services
Utilization Review
Healthcare
Operations
Compliance
Mid
Full Time
USD 91K+
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Clinical Reviewer - Board Certified Behavior Analyst (BCBA)
- United States - Remote
Acentra Health
Pediatric Behavioral Therapy
Clinical Experience
Utilization Review
Clinical assessment
Utilization management
Clinical expertise
Decision making
Medical terminology
Critical thinking
+4
Mid
Full Time
USD 60K+
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Psychiatrist - PRN (Remote U.S.)
- United States - Remote
Acentra Health
Medical management
Utilization Review
Utilization management
Nursing
Clinical expertise
Case Management
Mental Health
Education
Quality Assurance
+6
Senior
Full Time
USD 250K+
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Clinical Supervisor - RN (Remote within Indiana preferred)
- Indianapolis, IN, United States
CNSI
Healthcare administration
InterQual criteria
Milliman Care Guidelines
Utilization management
Utilization Review
Clinical expertise
Senior
Mid
Full Time
USD 80K+
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Nurse Reviewer (Registered Nurse) - Remote in US
- Any city, KY, US, 99999
Gainwell Technologies
Milliman criteria
InterQual criteria
Internet browsers
Milliman
Claims Auditing
Clinical Criteria
Clinical Experience
Microsoft Windows
InterQual
+12
Mid
Full Time
USD 58K+
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Supervisor - Case Management (Remote U.S.)
- United States - Remote
Acentra Health
Quality Monitoring
Disease Management
Clinical knowledge
Mentorship
Conflict Resolution
Clinical expertise
Nursing
Utilization Review
Care Coordination
+8
Senior
Mid
Full Time
USD 80K+
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Clinical Operations Manager - Registered Nurse (RN) (Remote U.S.)
- United States - Remote
Acentra Health
Performance Improvement
Regulatory standards
Clinical Review
Clinical knowledge
Utilization management
Clinical expertise
Clinical services
Clinical operations
Nursing
+7
Senior
Mid
Full Time
USD 100K+
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Jobs with CAD > 80K in Salary
Jobs with GBP > 60K in Salary
CNSI
Acentra Health
Oscar
Gainwell Technologies