Remote Clinical Prior Authorization Reviewer
Actalent
- Remote job
Actalent is seeking a Clinical Prior Authorization Reviewer to join our remote team supporting Dallas, TX operations. This contract role focuses on evaluating prior authorization requests for medical necessity and appropriate level of care using InterQual and Milliman criteria. You will collaborate with clinical and non-clinical colleagues, document findings in One Note, and stay current with utilization management standards to ensure compliant and timely reviews. #J-18808-Ljbffr Actalent
- ...Remote Hialeah, FL Miami, FL Full time R100079356 Current Employees... ...faculty or staff position, please review this tip sheet ( . The Clinical Documentation Integrity (CDI)... ...adjustment methodologies highly preferred.Prior experience in an academic medical...Remote workFull timeTemporary workWork at officeWorldwide
- A healthcare solutions company in McLean seeks experienced peer reviewers with at least 5 years in clinical settings. Responsibilities include reviewing medical records, assessing clinical guidelines, and providing improvement recommendations. Candidates must have an active...Remote jobWork from homeFlexible hours
- ...seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to review medical records and... ...Review requests for Prior Authorizations and Appeals including medical records and...Remote work
- AuraOne, Inc. is seeking an Epidemiology AI Reviewer to remotely assess AI outputs touching epidemiology. You will grade differential reasoning... ...; flag patient-safety issues; and document corrected clinical reasoning so the modeling team can close the gap. Responsibilities...Remote job
$42 - $44 per hour
...| Canada + 3 more Location Remote - Poland Preferred: Wrocław region... ...linguist with strong expertise in clinical/healthcare and marketing content review. Experience with medical devices,... ...role acts as a local linguistic authority and quality gatekeeper, bridging Marketing...Remote workContract workTemporary workPart timeLocal area$35 - $40 per hour
...through service offerings for clinical, case management, member... ...Title RN Utilization Management Reviewer Responsibilities Conduct... ...review for services requiring prior authorization in a variety of clinical areas... ...weekends. Location: Fully remote work at home role. Secure, private...Remote workHourly payTemporary workMonday to FridayFlexible hoursWeekend work- ...seeking a full-time , on-site Insurance Reviewer to join our team in our Wichita , KS... ...responsibilities of this position are: Obtains prior authorization for scans, labs,... ...-authorization. Receives and reviews clinical documents within the electronic medical...Full timeTemporary workWork at officeMonday to FridayShift work
- ...seeking a full-time , on-site Insurance Reviewer to join our team in our Wichita , KS... ...Business Standards. Responsibilities Obtains prior authorization for scans, labs, subsequent... ...prior-authorization. Receives and reviews clinical documents within the electronic medical...Full timeTemporary workWork at officeMonday to FridayShift work
- AI Trainer Jobs seeks clinicians for a remote clinical-review track evaluating AI outputs touching physician care. Reviewers assess differential... ...team. Physicians-Track requires license or board cert, with prior clinical case review experience. Remote availability of at...Remote job10 hours per week
$86k - $154.7k
...apply for the Psychologist Reviewer role at RemoteWorker US 1 day... ...our 28 million members as a clinical professional on our Medical... ...Description Centene is hiring a Remote Psychologist - Join Our... ...familiar with Medicaid guidelines, prior authorization, and telehealth practices...Remote workFull timeWork at officeRelocation packageFlexible hours$35 - $40 per hour
...leader in healthcare transformation, seeks an RN Utilization Management Reviewer for a fully remote role. You will perform timely clinical decision reviews for services requiring prior authorization across various clinical areas, applying criteria like InterQual and...Remote jobHourly pay$84 per hour
AI Trainer Jobs is seeking a CDI Leader for a remote, independent contractor role. You will review AI outputs against clinical guidelines, grade reasoning and dosing, and flag patient-safety issues, providing corrected reasoning for training data. Requirements include...Remote jobHourly payFor contractorsFlexible hours$35 - $40 per hour
...service offerings for clinical, case management, member... ...Management Reviewer Job Description: We are... ...clinical and service authorization review for medical necessity... ...for services requiring prior authorization in a variety... ...This is a fully remote work at home role. You...Remote workHourly payTemporary workCurrently hiringMonday to FridayFlexible hoursWeekend work$33 per hour
Opportunity Overview: The RN Reviewer position is a crucial role... ...perform prospective review (prior authorization) admission, concurrent, and... ...medical appropriateness of the clinical requests from providers. You... ...collaboration skills across remote teams Customer-focused...Remote workHourly payFull timeFlexible hoursShift work$59.09 per hour
Are you a Certified Clinical Documentation Specialist looking for a high-impact, fully remote opportunity with flexible daytime hours?... ...matter expert and second-level reviewer! In this role, you will... ...support complete documentation prior to patient discharge. Evaluate...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeHome officeFlexible hoursShift work- ...Clinical Documentation Improvement Specialist Work Mode: Remote Duration: 6-9 months Full-time, day shift, flexible hours between 6 a.m. and 5 p.m. Responsibilities: Utilize clinical/nursing knowledge to improve the quality and completeness of clinical...Remote workFull timeFlexible hoursDay shift
$57 per hour
ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Remote jobHourly payWork from homeFlexible hours$60.2k - $107.4k
...anywhere within the U.S. as you take on some tough challenges. Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation Keep abreast of current coding trends and maintains up to date knowledge of Medicare...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior authorization requests, appeals, and medication coverage determinations to ensure clinical appropriateness... ...Why Join Dane Street? Collaborative remote culture Professional growth opportunities...Remote workContract workLocal areaWork from home
- ...integral part of the HME office staff, not a remote third party billing vendor. The DME... .... Responsibilities: Collects, reviews and requests medical documentation... ...support medical necessity to submit for Prior Authorization. Submits and maintains prior...Remote workWork at officeLocal area
- ...advanced healthcare AI project. You’ll apply clinical expertise to evaluate medical information... ...medical decision-making workflows. No prior AI experience is required; your clinical... ...content and safe implementations. This role is remote for US-based professionals on a part-time...Remote jobPart timeFor contractors
- Clinical Reviewer Do you have a strong clinical background and a talent for... ...Comagine Health is seeking remote Clinical Reviewers (Licensed... ...to evaluate applicable authorization requests and supporting medical... ...health care services. Perform prior authorization, concurrent...Remote workFull timeContract workPart timeReliefWork from homeShift work
$50 - $52 per hour
...Claims Clinical Documentation Reviewer Schedule: 5-10 hours per week. Resource can... ...weekends if they prefer. Remote position. Equipment is provided... .... Knowledge Service Authorization concepts, principles, and... ...and implementation, prior authorization functions and...Remote workPart timeWork at officeLong distance10 hours per week$22 - $28 per hour
...customers. Summary The Auditor reviews completed Workers’... .... Compare current audits to prior audits and policy history to... ...independently in a hybrid or remote environment while managing multiple... ...agreement and received prior written authorization from an authorized Brown &...Remote workHourly payWork at office- ...We are hiring a Clinical Assistant at BCBST! In... ...BlueCare Plus Clinical Review Managers at BCBST by serving... ...questions, loading authorization faxes, entering... ...Note: This is a remote role within a collaborative... ...of the notification /prior authorization process....Remote workWork at officeRotating shift
- ...~ Refer a Friend ~ Back Remote Work from Home Share This Page... ...supervision of the Pharmacy Business Manager and Clinical Programs Manager, the Clinical Pharmacy... .... The CPT works closely with the Prior Authorization team, Patient Assistance Program Specialists...Remote workFull timeWork at officeLocal areaWork from homeRotating shift
$1,400 - $1,600 per month
...Location: South Africa or Philippines (Remote) The company is a fast-growing healthcare... ...empathy. This role is ideal for someone with prior healthcare documentation experience who... ..., insurance processes, prior authorizations, or healthcare administration Strong verbal...Remote workWork at officeFlexible hours$60 - $66 per hour
...Job Description Remote, Clinical Pharmacist - Pennsylvania Looking for a pharmacy career with purpose? Join one of the nation'... ...concerns, and promote adherence and compliance \n Support prior authorizations, financial assistance programs, documentation, and...Remote jobHourly payLocal areaImmediate startRotating shift- ...WFH 100% remote Duties This individual must have excellent interpersonal skills... .... Will be responsible for: Complete Clinical Reviews and provide a determination of... ...monitor the quality and efficiency of the Prior Authorization process including coverage criteria,...Remote workWork from home
$17 - $23 per hour
...Summary Performs both administrative and clinical functions to support smooth and... ...screens and/or takes messages related to prior authorizations -provider questions prescription... ...Hearing Constantly (67-100%) Remote Type Onsite Work Location 350...Remote workHourly payDaily paidPart timeWork at officeShift work
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