Remote Clinical Reviewer - Utilization Review
Comagine-Health
Washington DC
- Remote job
Comagine-Health is hiring a Clinical Reviewer based in Washington DC. This full-time remote/hybrid position will assess the medical necessity and quality of healthcare services. Ideal candidates have 3 years of clinical experience and an active RN license. The role involves reviewing clinical documentation, collaborating with teams, and ensuring compliance with health standards. Benefits include insurance, paid time off, and a retirement plan. This is a fantastic opportunity for a dedicated professional to enhance healthcare outcomes remotely. #J-18808-Ljbffr Comagine-Health
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Clinical Reviewer - Utilization Review in Washington DC vacancy
$50 per hour
GreenLife Healthcare Staffing is looking for an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50. This role involves conducting utilization reviews and ensuring healthcare documentation compliance for a respected non-...Remote jobHourly pay- Harris Health System, Inc. is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, TX. This position involves evaluating medical service... ...necessity and efficiency, ensuring quality care based on clinical guidelines. The UMRN will work closely with various...Remote jobFlexible hours
- ...Clinical Reviewer Position Are you passionate about using your clinical expertise to support... ...? We're recruiting for 2 full-time remote/hybrid Clinical Reviewer positions.... ...The Clinical Reviewer position supports utilization management activities by assessing the...Remote workFull timeWork from homeMonday to Friday
Comagine
Washington DC5 days ago - ...Behavioral Health Services Reviewer Are you passionate about improving... ...? Do you enjoy using your clinical expertise to evaluate needs,... ...evidence-based criteria to utilization management reviews; document... ...success on this team. This is a remote position based in Oregon and...Remote workFull timeContract workWork from home
Comagine
United States4 days ago - ...Clinical Reviewer - Pasrr Under the general supervision of the Associate Director, or designee... ...issues. ~ Ability to understand and utilize resources for problem solving, in order... ...include supervisory responsibilities. Remote position which requires working at...Remote workWork experience placementWeekend work
UMass Chan Medical School
United States3 days ago - ...We are seeking a qualified SUD MD Reviewer to conduct a retrospective utilization management overread of residential... ...cases to determine if standard clinical criteria were appropriately applied... ...Additional Requirements Work is 100% remote and offers flexible hours....Remote workTemporary workLocal areaFlexible hours
Medix
Phoenix, AZ1 day ago - ...Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged... ...improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in our...Remote workFull timeContract work
Comagine
United States1 day ago $185 per hour
...compliant AI platform that unifies intake, clinical documentation, coding, and quality... ...~ ~3+ years in home-health QA/OASIS review, utilization review, or clinical documentation QA.... ...a fast-moving startup environment and remote collaboration tools. Reliability counts...Remote workContract workReliefShift workWeekend workEnzo Health
United States4 days ago$85k - $92k
...Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Job ID: 87049 Location: USA- Remote in approved states Overview: We are partnering with a leading organization... ...professional with experience in clinical review, utilization management, or healthcare quality within...Remote workHourly payWork at officeHome officeTEEMA
United States3 days ago$28.37 - $35 per hour
...outcomes through technology, services, and clinical expertise. Our mission is to innovate health... ...Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The Clinical Reviewer utilizes clinical expertise during beneficiary interaction...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend workAcentra Health, LLC
McLean, VA14 days ago- ...Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services... ...relevant to Medicare managed care appeals or utilization management activities, preferred. Must...Remote workFull timeContract workPart timeFor contractorsWork at officeLocal areaNight shift
St. George Tanaq Corporation
Atlanta, GA8 days ago $90.87 - $154.33 per hour
A leading pharmacy benefit manager is looking for a remote Physician Clinical Reviewer specializing in Pediatric Rheumatology. This role involves... ...providing clinical rationale for decisions and assisting in utilization management. Competitive pay ranges from $90.87 to $154....Remote job- A healthcare organization seeks a Physician Clinical Reviewer specializing in Pediatric Rheumatology for a remote role. This critical position involves timely medical... ...impact in pharmacy solutions and manage utilization effectively. #J-18808-Ljbffr Prime TherapeuticsRemote job
$28.37 - $36 per hour
...outcomes through technology, services, and clinical expertise. Our mission is to innovate... ...Health is looking for a Clinical Reviewer - RN - PRN (Remote U.S.) to join our growing team.... ..., and adhering to HIPAA policies. Utilize proper telephone etiquette and judicious...Remote workContract workWork experience placementReliefWork at officeLocal areaMonday to FridayFlexible hoursAcentra Health
McLean, VA16 days ago$90.87 - $154.33 per hour
...driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Dermatology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not...Remote workWork at officeLocal areaVisa sponsorshipWork visaPrime Therapeutics
Richmond, VA3 days ago$28.37 - $38 per hour
...through technology, services, and clinical expertise. Our mission is to... ...looking for a PRN Clinical Reviewer - Substance Use (LPCC, LMFT,... ...of this position is to utilize clinical expertise to review... ...as needed). The role is also remote within the United States but...Remote workContract workReliefWork at officeLocal areaAcentra Health
McLean, VA1 day ago- ...improvement, and better health outcomes. Our remote workforce collaborates across the... ...Medicaid Prior Authorization (PA) program reviewing ABA therapy services. In this role, the... ...ABA treatment review, Medicaid policy, or utilization management preferred Equal Opportunity...Remote workRelief
Comagine Health
Sacramento, CA4 days ago $28.37 - $39.19 per hour
...through technology, services, and clinical expertise. Our mission is to... ...impact. Job Summary Clinical Reviewer - Substance Use - LPCC, LMFT, LICSW - PRN (Remote U.S.) Responsible for reviewing... ...diverse settings. 1+ years of Utilization Review (UR) or Utilization Management...Remote workHourly payContract workReliefWork at officeLocal area- Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Remote jobContract workWork from home
$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer to join their utilization management team. This remote position requires a medical degree (MD, DO, MBBS) and at least 5 years of clinical experience. Responsibilities include reviewing medical...Remote job$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Endocrinology to join their utilization management team. This remote role involves reviewing clinical determinations, collaborating with healthcare providers, and ensuring compliance with medical...Remote job$90.87 - $154.33 per hour
...leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote position involves reviewing clinical cases for... ...communication skills and a solid understanding of utilization management processes. This role offers competitive...Remote job$90.87 - $154.33 per hour
A healthcare company is seeking a Physician Clinical Reviewer specializing in Endocrinology to conduct remote medical reviews. Candidates must hold an MD or equivalent... ..., communicating with providers, and adhering to utilization management policies. This position offers a...Remote job$90.87 - $154.33 per hour
...progressive healthcare organization is seeking a Physician Clinical Reviewer in Rheumatology. This remote role involves evaluating service requests,... ...experience. Strong communication skills and a background in utilization management are essential. Potential compensation...Remote jobHourly pay$90.87 - $154.33 per hour
A healthcare management organization seeks a Physician Clinical Reviewer-Oncologist to join their remote utilization management team. Responsibilities include reviewing clinical cases, assisting Initial Clinical Reviewers, and ensuring compliance with medical necessity...Remote job$90.87 - $154.33 per hour
...leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Urology to join their utilization management team. The role involves medical review of... ...and at least 5 years of clinical experience. This remote position offers a competitive salary range from $90....Remote job- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology to join their utilization management team remotely. The ideal candidate will have a DO, MBBS, or MD degree and over 5 years of clinical experience. Responsibilities include...Remote job
- ...and patient outcomes. Our talented remote workforce spans the country and plays a... ...employees. About the Role: Lead Clinical Reviewer DC Medicaid Contract The Clinical Review... ...: The Clinical Reviewer Lead utilizes strong clinical knowledge and analytical...Remote workContract work
Comagine Health
Washington DC3 days ago - Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote jobWork from homeFlexible hours
- ...About the Opportunity The Clinical Documentation Review Specialist plays a crucial role in ensuring... ...documentation improvement. ~ Utilize information gathered to provide education... ...: Full Time Location : Remote If interested in this position, please...Remote workFull timeLocal areaFlexible hours
Pennant
United States1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Reviewer - Utilization Review. Be the first to apply!
Related searches
- medical records reviewer Washington DC
- medical reviewer Washington DC
- medical records administrator Washington DC
- clinical reviewer Washington DC
- health records assistant Washington DC
- clinical documentation specialist Washington DC
- remote clinical documentation specialist Washington DC
- medical records reviewer remote Washington DC
- medical record assistant Washington DC
- medical records clerk Washington DC