150 Clinical Compliance jobs

United States (Remote)

$82–87K / year

The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated…

United States (Remote)

$82–87K / year

The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated…

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Clinical Appeals is responsible for the oversight of all clinical appeals activities ensuring consistency of services and…

United States (Remote)

About the Role We are seeking Registered Nurses with at least 5 years of clinical experience — bedside nursing, case management, clinical nurse…

United States (Remote)

$65K / year

Description MEDvidi is a multi-state telehealth behavioral health organization making high-quality psychiatric care accessible, safe, and consistent.

United States (Remote)

$140–143K / year

Ways2Well is redefining the future of healthcare.

United States (Remote)

Overview NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona.

United States (Remote)

$33.00 – $39.00 / hour

Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services…

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance…

United States (Remote)

POSITION: The state of Indiana Clinical Provider (NP/IBCLC or PA/IBCLC) is responsible for ensuring direct patient care is evidence-based and aligns…

United States (Remote)

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance…

United States (Remote)

$90K / year

Ways2Well is redefining the future of healthcare.

United States (Remote)

This is a remote position.

United States (Remote)

$24.00 – $32.00 / hour

Clinical Support RN – Referrals & Results (Remote – California or New York) Job Type: Part-Time (10–20 hours/week, flexible hours) Location: Fully…

United States (Remote)

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw…

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

Chart Desktop Management Registered Nurse Department: Clinical Operations Reports To: Nurse Manager Location: Remote Employment Status: Full-Time…

United States (Remote)

Welcome! We’re excited you’re considering an opportunity with us!

United States (Remote)

$78–92K / year

Salary based on location: $78,000 - $85,000 if EST or CST; $86,000 - $92,000 if MST or PST.