Remote InterQual Criteria Jobs
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Software Development 17838B2B Sales & Account Management 10968CRM & Direct Marketing 10917Product 9303Back-End Development 9223Management and Leadership 8423Data and Analytics 8147finance 8094IT & Engineering 6553Enterprise Sales 6500Project & Program Management 5958Customer Support & Service 5958Sustainability & CSR 5474Sales Leadership & Strategy 5011DevOps & Infrastructure 4737Growth & Performance 3338Front-End Development 2857
31 jobs
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Utilization Review Clinician (RN, PT, OT) - Oregon
Utilization Review Clinician (RN, PT, OT) - Oregon
4 day ago
WellSky
- Remote: Oregon (USA)
- Full time
Care CoordinationUtilization ManagementMedical GuidelineNursingInterQual CriteriaMedical Software
Career Opportunities: RN Clinical Systems Trainer (24913)
Career Opportunities: RN Clinical Systems Trainer (24913)
4 day ago
CareOregon
- Remote: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA)
- Full time
Medical GuidelineNursingUtilization ManagementClinical Data ManagementInterQual CriteriaChange Management
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- Remote: United Kingdom
- Senior (5-10 years)
- 81 - 113K
Medical ManagementMedicaid Management Information Systems (MMIS)Recruitment StrategiesUtilization ManagementInterQual CriteriaOrganizational Structure
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
RN Clinical Grievance Analyst
RN Clinical Grievance Analyst
14 day ago
Strategic Staffing Solutions
- Remote: Michigan (USA)
- Freelance
Grievance ArbitrationClinical DocumentationMedical AbbreviationsE-MDs (EMR/EHR System)InterQual CriteriaMedicare Advantage
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Clinical Reviewer - LPN
Clinical Reviewer - LPN
19 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Utilization ManagementClinical NursingManaged CareMedical Record ManagementMedical AbbreviationsElectronic Referrals
Concurrent Utilization Review Nurse (Work from Home)
Concurrent Utilization Review Nurse (Work from Home)
5 day ago
Bright Health
- Remote: California (USA)
- Full time
Utilization ManagementMedical GuidelineElectronic Health Record ApplicationsMedical NecessityInterQual CriteriaCare Management
Clinical Product Consultant - UM
Clinical Product Consultant - UM
23 day ago
Iodine Software
- Remote: Texas (USA)
- Full time
Utilization ManagementProject ManagementClinical AssessmentsInterQual CriteriaCare ManagementChronic Care
Utilization Review Clinician (RN, PT, OT) - Remote
Utilization Review Clinician (RN, PT, OT) - Remote
4 day ago
WellSky
- Remote: United States
- Full time
Care CoordinationUtilization ManagementMedical GuidelineMedical NecessityInterQual CriteriaCare Management
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
9 day ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
Medical ManagementClinical AssessmentsUtilization ManagementMedical GuidelineCompliance ManagementInterQual Criteria
Nurse Practitioner (Ocean, New Jersey)
Nurse Practitioner (Ocean, New Jersey)
20 day ago
CareCentrix
- Remote: New Jersey (USA)
- Full time
Utilization ManagementAcute Care NursingClinical AuditingBasic Patient CareMedical Record ManagementInterQual Criteria
Full-Time RN Case Manager (UR Focused) | Texas
Full-Time RN Case Manager (UR Focused) | Texas
29 day ago
Beam Healthcare
- Remote: Texas (USA)
- Full time
Care CoordinationCare ManagementDischarge PlanningUtilization ManagementInterQual CriteriaInpatient Care
Clinical Care Reviewer, Pediatric Shift Care, RN
Clinical Care Reviewer, Pediatric Shift Care, RN
16 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Utilization ManagementNursingPediatricsClinical AssessmentsClinical InformaticsInterQual Criteria
Utilization review Nurse
Utilization review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Nurse, Utilization Management Reviewer.
Nurse, Utilization Management Reviewer.
30+ days ago
DCX PH Inc.
- Remote: United States
- Full time
- Mid-level (2-5 years)
Medical NecessityUtilization ManagementMedicareHealth Services ResearchInterQual CriteriaInternal Documentation
Career Opportunities: Nurse Reviewer (Registered Nurse) - Remote in US (26772)
Career Opportunities: Nurse Reviewer (Registered Nurse) - Remote in US (26772)
30+ days ago
Gainwell Technologies LLC
- Remote: United States
- Senior (5-10 years)
- 3 - 75K
Utilization ManagementNurse Licensure CompactInterQual CriteriaClinical Data AnalysisMedical Record Management
OTA - Utilization Management Reviewer
OTA - Utilization Management Reviewer
30+ days ago
DCX PH Inc.
- Remote: United States
- Full time
- Mid-level (2-5 years)
Medical NecessityUtilization ManagementService ReviewClinical DocumentationCare Management SoftwareInterQual Criteria
Utilization Review Nurse-Weekends-Remote
Utilization Review Nurse-Weekends-Remote
26 day ago
Sentara Healthcare
- Remote: United States
- Full time
Care CoordinationUtilization ManagementAcute CarePrior AuthorizationInterQual CriteriaNurse Licensure Compact
UM Clinical Team Lead
UM Clinical Team Lead
30+ days ago
Lifelancer
- Remote: United States, New York (USA)
- Full time
- Mid-level (2-5 years)
- 84 - 94K
Medical Insurance ClaimsInterQual CriteriaUtilization ManagementPerformance ImprovementRegulatory ComplianceCustomer Centricity
Supervisor, Clinical Review Mountain and Pacific Time Zones
Supervisor, Clinical Review Mountain and Pacific Time Zones
30+ days ago
Comagine Health
- Remote: United States
- Senior (5-10 years)
- 81 - 113K
Clinical Data AnalysisCase Management SystemsNurse Licensure CompactMedical ManagementInterQual CriteriaClinical Assessments
Career Opportunities: Utilization Management Medical Director - Remote in US (28039)
Career Opportunities: Utilization Management Medical Director - Remote in US (28039)
30+ days ago
Gainwell Technologies LLC
- Remote: United States
- Senior (5-10 years)
- 100 - 150K
InterQual CriteriaUtilization ManagementManaged CareAnalyticsAuditing
LPN/LVN Utilization Management Reviewer
LPN/LVN Utilization Management Reviewer
30+ days ago
DCX PH Inc.
- Remote: United States
- Full time
- Mid-level (2-5 years)
Medical NecessityUtilization ManagementService ReviewClinical DocumentationInterQual CriteriaEvaluation Of Care
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: United States
- Full time
Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Medical Review Nurse (RN)
Medical Review Nurse (RN)
19 day ago
ICONMA
- Remote: United States
- Full time
InterQual CriteriaClinical AssessmentsPrior AuthorizationMedical AbbreviationsCall Center ExperienceMedicare
Clinical Reviewer - LPN
Clinical Reviewer - LPN
30+ days ago
TriWest Healthcare Alliance
- Remote: United States, Azerbaijan, Arizona (USA)
- Senior (5-10 years)
- 58 - 74K
Managed CareClinical NursingMedical NecessityUtilization ManagementClinic Management SystemsInterQual Criteria
Physician Advisor
Physician Advisor
30+ days ago
Med-Metrix
- Remote: United States
- Full time
- Mid-level (2-5 years)
Patient SafetyUtilization ManagementEmergency Medical DispatchInterQual CriteriaMedical Licensing (Health Law)Physician Credentialing
Utilization Management Nurse
Utilization Management Nurse
26 day ago
ProgenyHealth, LLC
- Remote: United States
- Full time
Discharge PlanningNursingClinical AssessmentsIntensive Care MedicineElectronic Health Record ApplicationsData Entry
Medical Director
Medical Director
30+ days ago
WellSense Health Plan
- Remote: United States, Massachusetts (USA)
- Expert & Leadership (>10 years)
Medical ManagementUtilization ManagementInterQual CriteriaMedical Record ManagementMedicarePrior Authorization
PTA - Utilization Management Reviewer
PTA - Utilization Management Reviewer
30+ days ago
DCX PH Inc.
- Remote: United States
- Full time
- Mid-level (2-5 years)
Medical NecessityInterQual CriteriaService ReviewClinical DocumentationCare Management SoftwareUtilization Management
