Jobs: clinical review nurse - remote

  • Partner F/H

    Found in: Jooble US O C2 - 1 day ago


    Chicago, IL, United States Remote Full time

    About Remote Remote is solving global remote organizations’ biggest challenge: employing anyone anywhere compliantly. We make it possible for businesses big and small to employ a global team by handling global payroll, benefits, taxes, and compliance (learn more about how it works ). All of our positions are fully remote. You do not have to relocate to...

  • Remote Medical Reviewer/Clinical Genetics MD/DO

    Found in: Jooble US O C2 - 4 days ago


    McLean, VA, United States Maximus Federal Full time

    We have 100% Remote 1099 Independent Medical Reviewer roles available you may be interested in. These reviews will be strictly Clinical   Genetics/Clinical Genomic/Clinical Biochemical Genetics  Project: Description: The medical professional shall be a clinician expert in the treatment so the enrollees medical condition and knowledgeable about the...

  • Clinical Review Nurse

    Found in: Appcast US C2 - 5 days ago


    Atlanta, United States Pyramid Consulting, Inc Full time

    Immediate need for a talented Clinical Review Nurse - Prior Authorization .This is a 05+ Months Contract opportunity with long-term potential and is located in DE(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:24-17434 Pay Range: $35 - $38/hour. Employee benefits include, but are not limited to,...

  • Remote Medical Reviewer/Clinical Genetics MD/DO

    Found in: Jooble US O C2 - 4 days ago


    McLean, VA, United States Maximus Federal Full time

    We have 100% Remote 1099 Independent Medical Reviewer roles available you may be interested in. These reviews will be strictly Clinical   Genetics/Clinical Genomic/Clinical Biochemical Genetics  Project: CA- DMHC  Description: The medical professional shall be a clinician expert in the treatment so the enrollees medical condition and knowledgeable...


  • McLean, VA, United States Maximus Federal Full time

    Maximus has 100% Remote 1099 Independent Medical Reviewer   These reviews will be strictly  Clinical   Genetics/Clinical Genomic/Clinical Biochemical Genetics  Description: The medical professional shall be a clinician expert in the treatment so the enrollees medical condition and knowledgeable about the proposed treatment though recent or current...

  • Utilization Review Nurse

    Found in: Resume Library US A2 - 4 days ago


    Springfield, Illinois, United States Memorial Health Full time

    Overview: Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital admission for services reimbursement. Ensures the patient care team is aware of general length of stay requirements for all patients. Facilitates physician documentation...


  • Detroit, United States LanceSoft Inc Full time

    Job Description:This position will be remote role for Nurses in MichiganShould have a valid MI RN LicenseShould Have utilization management experience.Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously.The candidate should be well versed in coordination of care activities along with...

  • Remote Care Review Clinician,

    Found in: beBee jobs US - 3 days ago


    Nebraska, United States Molina Healthcare Full time

    JOB DESCRIPTIONOpportunity for a Nebraska licensed RN to complete Inpatient and Outpatient Utilization Reviews for our behavioral health members. Preference will be given to those nurses who have experience doing these types of reviews within another Managed Care Organization and has experience working with behavioral health patients. This is a fully remote...


  • Nutley, United States Maxis Clinical Sciences Full time

    Job DescriptionJob DescriptionSAS Programmer AnalystCan be 100% remoteWe need someone with SAS programming skills with proficiency in SAS/Base, SAS Macros, SAS/Graph, SAS/ SQL.The candidate should have a Master degree or an equivalent of 3-5 years of work experience in programming with clinical trial dataAdditionally we would like someone who canPerform SAS...


  • McLean, VA, United States Maximus Federal Full time

    We are currently looking for 100% Remote 1099 Independent Medical Reviewer roles available. These reviews will be strictly Pediatric Rehabilitation Medicine related. Maximus has 100% Remote 1099 Independent Medical Reviewer These reviews will be strictly Pediatric Rehabilitation Reviewer. Project: Description: The medical professional shall be a clinician...

  • People Partner

    Found in: Jooble US O C2 - 1 day ago


    Chicago, IL, United States Remote Full time

    About Remote Remote is solving global remote organizations’ biggest challenge: employing anyone anywhere compliantly. We make it possible for businesses big and small to employ a global team by handling global payroll, benefits, taxes, and compliance (learn more about how it works ). We're backed by A+ investors and our team is world-class, literally...

  • Utilization Review/RN

    Found in: Lensa US P 2 C2 - 3 days ago


    Corvallis, United States Integrated Resources Full time

    Job Name: Interested in learning more about this job Scroll down and find out what skills, experience and educational qualifications are needed. Utilization Review/RN - remoteFacility Address: 815 NW 9th St Corvallis, OR 97330 Job Description: JOB SUMMARY/PURPOSEReviews, assesses, and evaluates clinical information used to support Utilization Management...

  • Surgical Clinic Reviewer

    Found in: Lensa US P 2 C2 - 2 days ago


    Rolla, United States Phelps County Regional Medical Center Full time

    General Summary The Surgical Clinical Nurse Reviewer (SCNR) collects and submits reliable data to the ACS NSQIP program by performing high-quality clinical screening, data compilation, documentation and entry into the ACS NSQIP database of all eligible surgeries, in both inpatient and outpatient settings, for Phelps Health. The SCNR works closely with the...

  • Remote Document Reviewer

    Found in: beBee jobs US - 4 days ago


    New York, New York, United States tapwage Full time

    TransPerfect Is More Than Just a Job...Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 90+ offices has its own individual identity, and each also has its own unique rewards.TransPerfect is recruiting attorneys to work on an immediate REMOTE Document Review project.Details and...


  • Corvallis, United States Integrated Resources, Inc Full time

    Job Name: Utilization Review/RN - remote Facility Address: 815 NW 9th St Corvallis, OR 97330 Job Description: JOB SUMMARY/PURPOSE Reviews, assesses, and evaluates clinical information used to support Utilization Management (UM) decisions based on established clinical criteria and applies intermediate knowledge of coding and medical record research....

  • Registered Nurse

    Found in: Lensa US P 2 C2 - 19 hours ago


    Minneapolis, United States WEP Clinical Full time

    Job Description Job Description Salary: $55 Hourly Are you a skilled and compassionate nurse with a passion for clinical research? Join our dynamic team as a Clinical Trial Home Care Nurse and make a difference in the lives of study patients. We are seeking a dedicated individual with current acute care or homecare experience and phlebotomy skills to work...

  • Utilization Review Nurse

    Found in: Jooble US O C2 - 4 days ago


    Meadowbrook, PA, United States Holy Redeemer Hospital and Medical Center Full time

    Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of...


  • Meadowbrook, United States Holy Redeemer Hospital and Medical Center Full time

    Utilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...


  • united states Holy Redeemer Hospital and Medical Center Full time

    Utilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...


  • Meadowbrook, United States Holy Redeemer Hospital and Medical Center Full time

    Utilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...