Remote Clinical Review jobs
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CLINICAL REVIEW NURSE I - MEDICARE PART B (US)
Assesses the necessity and reasonableness of the items supplied in a valid claim through the use of medical policy and other materials. . Requires AS in nursing and minimum of 1 year of clinical experience; or any combination of...
| Company | Elevance Health |
|---|---|
| Address | Atlanta, GA |
| Category | Information Technology |
| Date Posted | 7 hours ago See detail |
Clinical Review Nurse I - Medicare Part B (US) New
Elevance Health
Atlanta, GA
Assesses the necessity and reasonableness of the items supplied in a valid claim through the use of medical policy and other materials. . Requires AS in nursing and minimum of 1 year of clinical experience; or any combination of...
7 hours ago seen See more...
- View all - jobs in Atlanta, GA
Nurse Practitioner (NP) Director of Clinical Quality (REMOTE)
Vesta Healthcare
Remote
$145,000 - $165,000 a year
Develop, design, revise, and execute our comprehensive Clinical Quality program and educate the team on continuous quality improvements. Collaborate extensively with Nurse Practitioners, collaborating physicians, nursing staff, ot...
24 hours ago seen
Clinical Reviewer - Remote (IN PASRR)
Maximus Services, Llc
Virginia, United States
$24 - $29 an hour
Paid Time Off Tuition Reimbursement Quarterly Bonus Opportunities Work/Life Balance Growth and Development Responsible for completing medical and/or behavioral health assessments within contract requirements. Conducts on-site, vid...
2 months ago seen See more...
- View all Maximus Services, Llc jobs - jobs in Virginia State
Clinical Reviewer, Grievance & Appeals - Remote
Connecticare
New York, NY
$63,000 - $110,000 a year
Prepare and present clinical summations/recommendations to the Medical Director or Pharmacist, or Independent Review Organization in accordance with state and federal regulations, NCQA requirements, and internal policy for final c...
2 months ago seen See more...
- View all Connecticare jobs - jobs in New York, NY
Clinical Review Coordinator - Remote in PST, MST, CST or HI
Optum
Dallas, TX
$33.75 - $66.25 an hour
All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Ensure timely processing of all denial- related and member-oriented written communications from naviHealth. Ensure that all denial informat...
2 months ago seen See more...
- View all Optum jobs - jobs in Dallas, TX
RN Clinical Reviewer
Rio Grande Regional Hospital
McAllen, TX
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...
4 days ago seen See more...
- View all - jobs in McAllen, TX
Clinical Claim Review RN - Medical Disability - Remote
Optum
Nashville, TN
$28.03 - $54.95 an hour
Remain up to date with the contract requirements. Use clinical judgement to ensure a clear, comprehensive, and concise exam documentation that is reflective of the patients service level conditions and in compliance to contract r...
2 months ago seen See more...
- View all Optum jobs - jobs in Nashville, TN
per diem Clinical Care Manager RN -mostly remote
Vns Health
New York, United States
$49.55 - $61.96 per hour
Attractive sign-on bonus and referral bonus opportunities . Generous paid time off (PTO), starting at30 days of paid time offand 9 company holidays . Health insurance plan for you and your loved ones, Medical, Dental, Vision...
5 days ago seen See more...
- View all - jobs in New York State
Clinical Research Medical Director, Endocrinology - US, Remote
Biospace
Washington, DC
Provide clinical/scientific knowledge into the development, design, delivery and communcation of the global evidence generation plan for the maridebart cafraglutide (AMG 133) phase 3 program. Support cross-functional and global co...
6 days ago seen See more...
- View all - jobs in Washington, DC
Clinical Research Medical Director, Endocrinology - US, Remote
Amgen
Washington, DC
Provide clinical/scientific knowledge into the development, design, delivery and communcation of the global evidence generation plan for the maridebart cafraglutide (AMG 133) phase 3 program.. Support cross-functional and global c...
6 days ago seen See more...
- View all - jobs in Washington, DC
Clinical Business Operations Representative 3 - Hybrid/Remote
University Of Miami
Miami, FL
$34.6K - $43.8K a year
Assists the department in managing expectations surrounding pre and post patient care. Obtains or reviews all patient demographic information, insurance information and referral numbers. Reviews clinical records for completeness i...
7 days ago seen See more...
- View all - jobs in Miami, FL
Registered Nurse- Risk Manager Clinical Reviewer
Department Of Veterans Affairs
Martinsburg, WV
Competitive
Demonstrates knowledge in the interpretation and application of accrediting body standards and other agency requirements. Assists with monitoring of various aspects of care provided to Veterans and the analysis and interpretation...
2 weeks ago seen See more...
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Associate Director Global Clinical Program Management, Obesity - US, Remote
Biospace
Washington, DC
Line Management of Global Trial Managers (GTM)s. Supports Clinical Program Operations (CPO) Director/Snr Director in the following activities (leads activities in the absence of a director level e.g., on smaller programs):. Overal...
a week ago seen See more...
- View all - jobs in Washington, DC
Associate Manager, Clinical Health Services (Remote)
Cvs Health
Tallahassee, FL
Fundamental Components Implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g., NCQA, URAC, state and federal standards and mandates as applicable) Serve as a conte...
a week ago seen See more...
- View all - jobs in Tallahassee, FL
Patient Coordinator (Remote/Non-clinical) AccessNurse in null (Remote) at TeamHealth
Teamhealth
Remote
Are you seeking a remote position? And are you able to provide a HIPAA-compliant workspace? Are you looking to start a new career with a reputable health care company? Week 1: July 1-5, M-F 9a-5p Eastern (No Class On July 4th). We...
2 weeks ago seen
Book Cover Reviewer For Books, Series, And Geeks | Remote | Part Time
Venice Review
Remote
$375 a week
Work from Home. Flexible working hours. Relaxed atmosphere. You have a passion For Books and can express your opinions clearly and convincingly. You have a device (television, notebook) that can stream the media. We will provide t...
2 weeks ago seen
Movie Poster Reviewer For Movies, Series, And Geeks | Remote | Part Time
Venice Review
Remote
$375 a week
Work from Home. Flexible working hours. Relaxed atmosphere. You have a passion For Movies and can express your opinions clearly and convincingly. You have a device (television, notebook) that can stream the media. We will provide...
2 weeks ago seen
Remote- Clinical Pharmacology, Modeling & Simulation- Senior Principal Scientist
Biospace
Thousand Oaks, CA
Plans all necessary non-compartmental analyses to support project team decisions, publications, and reporting. Designs Clinical Pharmacology components of drug development project clinical plans and provides Clinical Pharmacology...
3 weeks ago seen See more...
- View all Biospace jobs - jobs in Thousand Oaks, CA
Supervisor - Clinical Review (Full-time - Salaried/Exempt) Washington State
Kaiser Permanente
Spokane, WA
Monitors and acts on daily operations of the Clinical Review, Case Management, and Code Review nursing staff using daily management systems. Manages and monitors daily work product of the Clinical Review, Case Management and Code...
3 weeks ago seen See more...
- View all Kaiser Permanente jobs - jobs in Spokane, WA
Remote Clinical Supervisor Board Certified Behavior Analyst (LBA, BCBA)
Highlights Healthcare
Mooresville, NC
Monday through Friday schedule No weekends. Competitive compensation starting at $75 per billable hour, commensurate with experience. Professional development opportunities. Company laptop. Train and supervise a team of Student An...
3 weeks ago seen See more...
CLINICAL QUALITY MANAGEMENT (Remote)
North Shore Surgi-Center
Los Angeles, CA
Graduate of an accredited school of nursing. Current Registered Nurse License. Current American Heart Assn. BLS and ACLS certifications. 1. Responsible for Quality Assurance Activities at the Bureau of Public Health Clinics (BPHC...
2 weeks ago seen See more...
- View all - jobs in Los Angeles, CA
CLINICAL QUALITY MANAGEMENT (Remote) - Now Hiring
North Shore Surgi-Center
San Antonio, TX
Graduate of an accredited school of nursing. Current Registered Nurse License. Current American Heart Assn. BLS and ACLS certifications. 1. Responsible for Quality Assurance Activities at the Bureau of Public Health Clinics (BPHC...
2 weeks ago seen See more...
- View all - jobs in San Antonio, TX
Patient Coordinator (Remote/Non-clinical) AccessNurse in Boise, ID at TeamHealth
Teamhealth
Boise, ID
Are you seeking a remote position? And are you able to provide a HIPAA-compliant workspace? Are you looking to start a new career with a reputable health care company? Week 1: July 1-5, M-F 9a-5p Eastern (No Class On July 4th). We...
3 weeks ago seen See more...
- View all - jobs in Boise, ID
Licensed Professional Clinical Counselor (Remote)
Gotham Enterprises Ltd
Elk Grove, CA
Engaged Clients:Connect with clients who fit your area of expertise. Our clients have low acuity, suffer from anxiety, depression, ADHD, OCD, relationship issues, weight disorders, or needs grief counseling. There are no children...
3 weeks ago seen See more...
- View all - jobs in Elk Grove, CA
Patient Coordinator (Remote/Non-clinical) AccessNurse in Lawton, OK at TeamHealth
Teamhealth
Lawton, OK
Are you seeking a remote position? And are you able to provide a HIPAA-compliant workspace? Are you looking to start a new career with a reputable health care company? Week 1: July 1-5, M-F 9a-5p Eastern (No Class On July 4th). We...
3 weeks ago seen See more...
- View all - jobs in Lawton, OK
Patient Coordinator (Remote/Non-clinical) AccessNurse in Casper, WY at TeamHealth
Teamhealth
Casper, WY
Are you seeking a remote position? And are you able to provide a HIPAA-compliant workspace? Are you looking to start a new career with a reputable health care company? Week 1: July 1-5, M-F 9a-5p Eastern (No Class On July 4th). We...
3 weeks ago seen See more...
- View all - jobs in Casper, WY
Director, Clinical Operations (REMOTE)
Merck Sharp Dohme
Rahway, NJ
Minimum 10 years in Clinical Trial Operations gained from working at hospitals and/or research institutions, recognized clinical trial suppliers/vendors, reputable CRO(s) and/or a Sponsor environment working on multi-phase, multi-...
3 weeks ago seen See more...
- View all Merck Sharp Dohme jobs - jobs in Rahway, NJ
Clinical Trial Assistant (Hybrid or Remote)
Hr Pals
Hayward, CA
File, track, and maintain the Trial Master File (TMF). Prepare study-related materials for the training of internal and external staff. Coordinate execution of Non-Disclosure and Confidentiality Agreements (NDAs) with study sites....
3 weeks ago seen See more...
- View all Hr Pals jobs - jobs in Hayward, CA
Remote BCBA or BCaBA Clinical Supervisor
Intercept Health
Roanoke, VA
Service Excellence - "WOW" clients, customers, and coworkers. Team Loyalty - help others succeed. Ownership - "see it, own it, solve it, do it.". Passion - inspire with positive energy and effort. Authenticity - be genuine and tru...
3 weeks ago seen See more...
- View all Intercept Health jobs - jobs in Roanoke, VA
Associate Clinical Research Associate - Louisiana, Arkansas, New Mexico and Oklahoma(REMOTE)
Merck
Rahway, NJ
Develops strong site relationships and ensures continuity of site relationships through allphases of the trial.. Performs clinical study site management/monitoring activities in compliance with ICH-GCP,Sponsor SOPs, Local Laws & R...
3 weeks ago seen See more...
- View all Merck jobs - jobs in Rahway, NJ
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