10,000+ Jobs Found

"virtual utilization review" in "None"

Inventory & Operations Analyst

Freeoskinc Chicago Illinois United States
(No Timezone Provided)

**Inventory & Operations Analyst** Chicago, IL / Operations / Full-time Hello, Inventory & Operations Analyst! Be part of a fun-loving and agile team while gaining valuable (and in demand) retail distribution experience. In this role you'll help manage demand planning, inventory management and merch...

Utilization Review Nurse (Remote)

Oscar Health None Arizona United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Utilization/Clinical Review Nurse to join our Clinical team.  Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need you...

Utilization Review Nurse (Remote)

Oscar Health Dallas Texas United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Utilization/Clinical Review Nurse to join our Clinical team.  Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need you...

Utilization Management - RN (NOW REMOTE)

Morgan Stephens Spokane Valley Washington United States
(No Timezone Provided)

You must live within 25 miles of job location for remote positions.About us:Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates.   We are created and managed by experienced industry professionals in healthcare. As a lead...

Inpatient Care Management Nurse RN - Indiana - Remote

UnitedHealth Group Indianapolis Indiana United States
(No Timezone Provided)

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

Physician Spine Surgeon Telecommute Medical Review

Concentra Career Choice Minneapolis Minnesota United States
(No Timezone Provided)

Overview:Are you an accomplished Board Certified Spine Surgeon or Board Certified Neurosurgeon? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize y...

Physician Spine Surgeon Telecommute Medical Review

Concentra Lexington Kentucky United States
(No Timezone Provided)

Overview:Are you an accomplished Board Certified Spine Surgeon or Board Certified Neurosurgeon? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize y...

Behavioral Health Medical Director - Remote Psychiatrist

Centene Indianapolis Indiana United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Inpatient Care Management Nurse RN - Indiana - Remote

UnitedHealth Group Indianapolis Indiana United States
(No Timezone Provided)

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

Gastroenterology Chart Reviewer - Remote Part Time

Max Populi, LLC New York New York United States
(No Timezone Provided)

Are you looking for a non-clinical opportunity for work/life balance needs yet want to stay clinically active? Join us as an Medical Director to conduct chart and peer reviews from your home office. where you'll be empowered to make a difference inthe lives of patients by improving the quality of ...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Philadelphia)

CIGNA Philadelphia Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Pittsburgh)

CIGNA Pittsburgh Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Allentown)

CIGNA Allentown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Erie)

CIGNA Erie Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Reading)

CIGNA Reading Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Scranton)

CIGNA Scranton Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Bethlehem)

CIGNA Bethlehem Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Lancaster)

CIGNA Lancaster Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Philadelphia)

CIGNA Philadelphia Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Pittsburgh)

CIGNA Pittsburgh Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Reading)

CIGNA Reading Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Erie)

CIGNA Erie Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (York)

CIGNA York Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Allentown)

CIGNA Allentown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Harrisburg)

CIGNA Harrisburg Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Lancaster)

CIGNA Lancaster Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Bethlehem)

CIGNA Bethlehem Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (West Chester)

CIGNA West Chester Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Scranton)

CIGNA Scranton Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Norristown)

CIGNA Norristown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Easton)

CIGNA Easton Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Wilkes Barre)

CIGNA Wilkes Barre Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Johnstown)

CIGNA Johnstown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Mechanicsburg)

CIGNA Mechanicsburg Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Lebanon)

CIGNA Lebanon Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (State College)

CIGNA State College Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Levittown)

CIGNA Levittown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Altoona)

CIGNA Altoona Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Pottstown)

CIGNA Pottstown Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Greensburg)

CIGNA Greensburg Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Butler)

CIGNA Butler Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Chambersburg)

CIGNA Chambersburg Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Bensalem)

CIGNA Bensalem Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Williamsport)

CIGNA Williamsport Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Carlisle)

CIGNA Carlisle Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (New Castle)

CIGNA New Castle Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Lansdale)

CIGNA Lansdale Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Coatesville)

CIGNA Coatesville Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Morrisville)

CIGNA Morrisville Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA (Hanover)

CIGNA Hanover Pennsylvania United States
(No Timezone Provided)

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedur...