7 Medical Necessity Review Specialist jobs

Arkansas, United States (Remote)

$56.4–90.4K / year

Job Summary: Complex Population Service Determination Specialist II is responsible for processing medical necessity and noncommunity supports and…

Massachusetts, United States (Remote)

Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care…

Harrisburg, Pennsylvania, US (Hybrid)

Category: Health Care Location: Harrisburg Pennsylvania United States Seeking a Registered Nurse (RN) – Expert Medical Examination Consultant to…

Ohio, United States (Remote)

Job Summary: The Post Acute Care Specialist -Integrated Care is responsible for coordinating level of care transition and post-acute UM activities to…

Massachusetts, United States (Remote)

Job Summary: The Clinical Care Reviewer II - Massachusetts is responsible for processing medical necessity reviews for appropriateness of…

South Carolina, United States (Remote)

Summary We are currently hiring for a Managed Care Coordinator I to join BlueCross BlueShield of South Carolina.

Oklahoma, United States (Remote)

$65–88.6K / year

Become a part of our caring community The Licensed Behavioral Health Utilization Management Professional 2 uses behavioral health knowledge and…