Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Healthcare Case Review Lead

RediMinds, Inc.

New York, NY
  • Remote job

RediMinds, Inc. is hiring a Case Review Manager for a fully remote, United States—contract-to-hire—position. You will review case files for completeness, validate summaries, and quality-check clinician reviews to ensure accuracy and proper justification. You will work with clinicians to clarify gaps while upholding independent medical judgment. Strong emphasis on attention to detail, timely escalation of discrepancies, and final QA of determination letters. #J-18808-Ljbffr RediMinds, Inc.

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Healthcare Case Review Lead in New York, NY vacancy
  •  ...Health Services Inc. is seeking a Bill Review Team Lead to supervise and coach BR reviewers, ensuring...  ...bill review team. The position supports remote work with standard hours, focusing on QA...  ...with management to resolve complex cases. #J-18808-Ljbffr EK Health Services Inc... 
    Remote job

    EK Health Services Inc.

    Phoenix, AZ
    5 days ago
  • $81.95k - $110.24k

     ...Ensemble! Ensemble is a leading provider of technology-...  .... We recognize that healthcare requires a human touch,...  ...The Lead Utilization Review RN is a key contributor...  ...work queues assigned to case management for revenue...  ...required #LI-LS1 #LI-REMOTE Join an award-winning... 
    Remote work
    Full time
    Work at office
    Local area

    Ensemble Health Partners

    Ohio
    20 days ago
  • Ek-Health-Services-Inc.-1 is seeking a Bill Review Team Lead to guide daily BR operations and develop a high-performance culture. You will...  ..., with a focus on process improvement and staff development. Remote work is offered for this full-time exempt position. #J-18808... 
    Remote job
    Full time

    EK Health Services Inc.

    Phoenix, AZ
    1 day ago
  • $50 per hour

     ...based AI opportunities for leading tech companies, focused on...  ...tasks to take and when Remote: open to US-licensed physicians...  ...malpractice exposure: you review written clinical cases All contributors are...  ...pharmacists), or non-clinical healthcare titles. How it works... 
    Remote work
    Part time
    For contractors
    Flexible hours

    Mindrift

    Remote
    9 days ago
  •  ...making a difference in the healthcare industry, and in people...  ...accuracy.The Team Lead of On-site UM is responsible...  ...compliance. Unlike remote roles, this position relies...  ...providers to discuss cases where documentation...  ...Complianceo Medical Necessity Reviews: Use criteria like... 
    Remote work
    Full time
    Immediate start
    Shift work

    Wellstar Health Systems, Inc.

    Marietta, GA
    more than 2 months ago
  • Greenlife Healthcare Staffing is seeking a Medical Case Reviewer (PhD/Advanced Clinician) to apply advanced scientific training to review complex vaccine injury...  ...and support federal compensation decisions. This remote, contract-based role offers flexible case-based scheduling... 
    Remote job
    Contract work
    Flexible hours

    Comunidade Metodista

    New York, NY
    4 days ago
  •  ...Description Join our team as a remote (Oklahoma City) full time days and every other weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK. Get to Know...  ...to patient, family and all appropriate healthcare professionals. Assists physicians and hospital... 
    Remote work
    Full time
    Work at office
    Weekend work

    INTEGRIS Health

    New York, NY
    1 day ago
  •  ...making a difference in the healthcare industry, and in people...  ...accuracy. The Team Lead of On-site UM is responsible...  ...compliance. Unlike remote roles, this position...  ...providers to discuss cases where documentation does...  ...Compliance o Medical Necessity Reviews: Use criteria like... 
    Remote work
    Immediate start
    Shift work

    Wellstar Health Systems, Inc.

    Marietta, GA
    18 days ago
  • Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity PsyPhyCare is seeking...  ...Case Reviewers to support a federal healthcare program focused on evaluating vaccine...  .... Consult with medical experts, team leads, and attorneys as needed. Participate... 
    Remote job
    Hourly pay
    Contract work

    PsyPhyCare

    New York, NY
    2 days ago
  • $3,268 per week

     ...Travel RN - Case Management/Utilization Review - Case Management American Traveler San Francisco, California...  ...includes 2 days onsite and 3 days remote per week Floats between...  ...experience required ~ Prior travel healthcare experience required ~ Trauma Level... 
    Remote work
    Weekly pay
    Contract work
    Local area
    Shift work
    Night shift
    Day shift
    3 days per week

    American Traveler

    Emeryville, CA
    5 days ago
  • $34.74 - $57.54 per hour

    Case Manager Team Lead Job Code: CM4000 Full-time ABOUT US We are ushering in a new era of healthcare where achieving good health is just the beginning. At UVA Community Health, part...  ...Ability to travel between campus buildings, remote facilities, and out of town as needed:... 
    Remote work
    Hourly pay
    Full time
    Work experience placement
    Work at office
    Local area
    Shift work
    Weekend work

    University of Virginia

    Manassas, VA
    2 days ago
  • $89.38 per hour

    Medical Case Reviewer (#R10247) Location: Remote (U.S.) Employment Type: Contract (Case-Based Consulting) Hourly...  .../hour Position Overview: Greenlife Healthcare Staffing is seeking a Medical Case...  ...unrelated under statute. Consult with Team Lead, physician experts, and counsel as... 
    Remote work
    Hourly pay
    Contract work
    Flexible hours

    Comunidade Metodista

    New York, NY
    4 days ago
  •  ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and collaborating with teams to meet... 
    Remote work
    Contract work

    IntePros

    New York, NY
    2 days ago
  • $143.68k - $185.81k

     ...direction of the Assistant Director, the Intensive Case Management Medicare Advantage Utilization Review Nurse performs utilization review of medical necessity...  ...options and services to meet at-risk patients' healthcare needs. Salary Range: $ 143,675 - $185,811 annual Job... 
    Remote job
    Work at office
    Monday to Friday
    Flexible hours

    UCLA Health

    Los Angeles, CA
    3 days ago
  • $135.2k - $185.9k

     ...US NJ Morristown Remote Full time JR11121...  ...Zelis is modernizing the healthcare financial experience across...  .... Incident Response Lead As an Incident...  ...recovery, and post-incident review. This role combines...  ..., reviewing complex cases, providing guidance, and... 
    Remote work
    Full time
    Work at office
    Local area
    Visa sponsorship
    Flexible hours

    Zelis

    Atlanta, GA
    3 days ago
  •  ...A leading healthcare consulting firm is seeking a Specialty Physician Reviewer with expertise in genetics to conduct thorough reviews and provide peer consultations. This flexible contract role requires an MD or DO degree and board certification in relevant specialties... 
    Remote work
    Contract work
    Flexible hours

    HealthHelp

    New York, NY
    3 days ago
  • $112k - $208.15k

     ...everything. Our strength in healthcare innovation empowers us...  ...States of America, Remote (US), Santa Clara, California...  ...Affairs Program Lead to support our OTTAVA...  ...will be considered on a case-by-case basis and if approved...  ...include conducting reviews and providing expert... 
    Remote work
    Full time
    Local area
    Immediate start
    Flexible hours

    Johnson & Johnson Innovative Medicine

    Remote
    4 days ago
  •  ...Psychiatry Department Team Lead (PMHNP) Backpack Healthcare | Fully Remote About Backpack Healthcare Backpack...  ...individual meetings focused on case consultation, clinical decision-...  ...chart audits and clinical practice reviews to identify opportunities for... 
    Remote work
    Full time
    Work at office
    Home office

    Backpack Healthcare

    Remote
    5 days ago
  • $70 per hour

     ...seeking a seasoned customer success lead to train AI models on...  ...run enterprise QBRs and executive reviews for large accounts, shaping AI-generated...  ...across quarterly reviews, renewal cases, and value realization exhibits. This fully remote role offers 5-20 hours per week,... 
    Remote job
    Immediate start

    Ethos

    New York, NY
    4 days ago
  •  ...everything. Our strength in healthcare innovation empowers us...  ...IM Transcend Deployment Lead Analyst to join our...  ...Puerto Rico, LATAM, or EMEA. Remote work options may be considered on a case-by-case basis and if...  ...resolve test defects ~ Review and analyze testing... 
    Remote work
    Full time
    Local area

    Johnson & Johnson Innovative Medicine

    Puerto Rico
    1 day ago
  • $2,784 per week

     ...Travel RN - Case Management/Utilization Review - Case Management American Traveler Bethel, Alaska, United...  ...programs. Coordinates with other healthcare providers and maintains accurate...  .... Hospital housing provided in a remote area with shared common spaces and private... 
    Remote work
    Weekly pay
    Work experience placement
    Shift work
    Day shift

    American Traveler

    Bethel, AK
    5 days ago
  • $320k - $340k

     ...and easy-to-understand healthcare plans for America’s seniors...  ...clinical policies. The Lead Medical Director,...  ...Health’s medical policies reviews to determine medical...  ...retrospective, and other UM cases with sound clinical...  ...Additionally, we embrace a remote-first culture that... 
    Remote work
    Full time
    Work experience placement
    Work at office
    Local area
    Flexible hours

    Clover Health

    Remote
    10 days ago
  •  ...LLC is a nationally recognized healthcare management consulting firm...  ...partner to many of the nation's leading healthcare organizations. Our...  ...Summary The Utilization Review (UR) / Utilization Management...  ...Working with client clinical, case management, revenue cycle,... 
    Full time

    Impact Advisors

    Remote
    18 days ago
  • $180k - $186k

     ...Practice Provider, Team Lead California, United States Ascend Healthcare is committed to providing...  ...initiatives, including chart reviews,to ensure documentation...  ...: This is a fully remote position but may require...  ...have any active malpractice cases naming you as a defendant... 
    Remote job
    Full time
    Currently hiring
    Work at office
    Work from home

    Ascend Healthcare

    Sacramento, CA
    1 day ago
  •  ...Remote Clinical Review Pharmacist – Work From HomeLeverage your clinical knowledge in a fully remote...  ...-management teams on complex cases.Document recommendations and decisions...  ...opportunities.About Us We are a confidential healthcare organization providing managed-care and... 
    Remote work
    Work from home
    Flexible hours

    Pharmacy Careers

    Omaha, NE
    2 days ago
  • Document Discovery Specialist Remote (Based at an approved local...  ...exists to ensure that document review and discovery processes are completed...  ...standard. What You'll Do Lead the review and classification...  ...to locate, filter, and track case-related data What We're... 
    Remote job
    Local area

    remoting.work

    New York, NY
    1 day ago
  •  ...The Physician Advisor Lead provides clinical leadership...  ...Advisors, Utilization Review teams, and clients to...  ...necessity, and P2P cases. Establish and promote...  ...management, hospital medicine, healthcare revenue cycle, or a...  ...work effectively in a remote, client-facing... 
    Remote work

    HURC

    Short Hills, NJ
    4 days ago
  •  ...Remote Case Management Pharmacist – Coordinate Care for Complex Patients | Work From Home...  ...and complex patients through medication reviews, care coordination, and adherence support...  .... About Us We are a confidential healthcare partner serving health plans and... 
    Remote work
    Work from home

    Pharmacy Careers

    Jacksonville, FL
    3 days ago
  •  ...Mission The US healthcare system is complex, error-prone...  ...AI agents work those cases together. This is primarily...  ...What You'll Do Review uploaded bills each...  ...Experience training or leading a team of billers, advocates...  ...Monday through Thursday, with Fridays remote.... 
    Remote work
    Full time
    Work experience placement
    Work at office
    Monday to Friday
    Monday to Thursday
    Shift work

    granted

    New York, NY
    2 days ago
  •  ...seeking an experienced Senior Family Law Paralegal / Case Manager to take ownership of complex Florida...  ..., and coordinating discovery. This 100% remote position requires proactive communication, meticulous document review, and the ability to work independently in a fast... 
    Remote job

    Horizon Premier Staffing

    New York, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Healthcare Case Review Lead. Be the first to apply!