134 Medical Review jobs

United States (Remote)

$65K / year

At Broadway Ventures , we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions.

United States (Remote)

$31.00 / hour

At Broadway Ventures , we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions.

United States (Remote)

$65–70K / year

Scope: The Medical Review Specialist is a Registered Nurse who conducts the Utilization Review process by obtaining medical information and…

United States (Remote)

$23.00 – $27.00 / hour

Scope: The Medical Review Coordinator will perform her/his duties in accordance with MedWatch procedures, MedWatch review standards, URAC standards…

United States (Remote)

Kingman Healthcare Incorporated (KHI) Staff Position Description Position Title: Utilization Review Nurse Position Code: RN-6027 Department: Case…

United States (Remote)

Dane Street has embarked on a program where we are looking for Registered Nurses to perform reviews and clinical summaries for disability claims.

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating…

United States (Remote)

$78–88K / year

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.

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!

United States (Remote)

$80K / year

Applicants must reside in: Michigan, Florida, Idaho, Texas, Minnesota or Illinois.

United States (Remote)

By joining Sedgwick, you'll be part of something truly meaningful.

United States (Remote)

$40.00 / hour

This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months.

Florida, US (Hybrid)

$71.2–115.7K / year

The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level.

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)

JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care…

United States (Remote)

This is a remote position.

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)

$27.00 – $49.00 / hour

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

Florida, US (Hybrid)

$71.2–115.7K / year

The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level.

United States (Remote)

Overview Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for…