24 Medical Authorizations jobs

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)

$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…

Florida, US (Hybrid)

$25.00 – $41.00 / hour

The Administrative Nurse, LPN will support Clinical Review/Utilization Management processes in pre-service medical review, post-service medical…

Florida, US (Hybrid)

$25.00 – $41.00 / hour

The Administrative Nurse, LPN will support Clinical Review/Utilization Management processes in pre-service medical review, post-service medical…

United States (Remote)

$75.3–135.4K / year

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members.

United States (Remote)

$93.4–132.4K / year

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Clinical Claims Reviewer/ RN - Remote!

Monterey Park, California, US (Hybrid)

$21.00 – $26.00 / hour

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator – Denials to join our Denial Department.

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…

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse.

United States (Remote)

$75–88K / year

Why Comagine Health? Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and…

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)

$25.00 – $34.00 / hour

Location Address: 2925 Chicago Ave Loading Dock Minneapolis, MN 55407-1321 Date Posted: July 30, 2026 Department: 78007327 Seniorcare Providers…

United States (Remote)

$36.00 – $38.00 / hour

Vida is looking for a licensed RN or LPN to manage clinical review requests, escalations, and member inquiries in a fully remote, virtual care setting.

United States (Remote)

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes.

United States (Remote)

Overview Be inspired.

United States (Remote)

$66.3–84K / year

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here .

United States (Remote)

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and…

United States (Remote)

$35.00 – $40.00 / hour

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

United States (Remote)

$65–85K / year

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse.