The Physician Reviewer manages Utilization Management cases and coordinates care for patients across assigned territories. They also advise other reviewers and participate in process and quality improvement for Delegated Utilization Management.
Remote Healthcare Jobs (12,050)
Job category = Healthcare
The Physician Reviewer conducts Clinical Appropriateness Reviews and coordinates care for patients across assigned territories. They also advise other reviewers and participate in process and quality improvement for Delegated Utilization Management.
Clinical Practice Liaison – Long Term Care
Neurocrine Biosciences
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Full Time
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21 hours ago
Neurocrine Biosciences
The Clinical Practice Liaison builds scientific relationships with Advanced Practice Providers and healthcare professionals to advance the company's scientific position. The role focuses on educational outreach regarding disease pathophysiology and evidence-based treatments within community mental health and long-term care settings.
Utilization Management (UM) Nurse Consultant - Work at Home in EST Zone
CVS Health
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Full Time
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21 hours ago
CVS Health
The role involves reviewing clinical documentation to determine medical necessity and appropriate benefit use for members. The consultant coordinates care plans and collaborates with providers to ensure high-quality, cost-effective healthcare delivery.
Utilization Management (UM) Nurse Consultant - Work at Home in EST Zone
CVS Health
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Full Time
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21 hours ago
CVS Health
The UM Nurse Consultant reviews clinical documentation to ensure members receive safe and appropriate care based on medical necessity. They collaborate with providers and facilities to coordinate treatment plans and facilitate efficient discharge planning.
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The Access Care Manager leads the patient journey by integrating reimbursement expertise and account-level strategies to ensure patient access to therapies. They serve as the primary contact for consented patients and provide compliant education to healthcare providers on coverage pathways.
The Access Care Manager integrates patient journey ownership and reimbursement expertise to ensure appropriate patient access to therapies. This role involves coordinating care across providers, educating HCPs on coverage pathways, and developing account-level strategies to reduce therapy initiation delays.
Clinical Research Associate II/ Sr CRA I, Denmark - Sponsor-dedicated
Syneos Health
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Full Time
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21 hours ago
Syneos Health
The role involves performing site qualification, initiation, and monitoring visits to ensure regulatory and protocol compliance. Responsibilities include verifying clinical data accuracy, managing investigational products, and maintaining the Investigator Site File.
Sr. Director, Medical & Scientific Affairs - Specialty Testing - (USA REMOTE)
Danaher Corporation
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Full Time
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21 hours ago
Danaher Corporation
Set the vision and strategic direction for the Specialty Testing business area, overseeing product development, clinical research, and compliance. Act as the medical representative to external partners and lead global strategies for health economics, policy, and reimbursement.
Assistant Director, Clinical Education Operations
St. George's University
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Full Time
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21 hours ago
St. George's University
Provides leadership and operational oversight for clinical education programs, including rotation scheduling and credentialing systems. Manages clinical education staff and ensures compliance with accreditation and institutional requirements.
The role is responsible for lifetime medical cost planning for injured workers and analyzing claims data to ensure product profitability. It involves creating analytical tools and collaborating with stakeholders to develop business questions for modeling.
Experienced Clinical Research Associate (Remote, Guangzhou)
Medpace, Inc.
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Full Time
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21 hours ago
Medpace, Inc.
The CRA will conduct feasibility, initiation, monitoring, and closeout visits for Phase 1-3 research sites across various therapeutic areas. Key duties include source document verification, regulatory review, drug inventory management, and reporting adverse events.
Senior Health Information Management Representative
UnitedHealth Group
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Full Time
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21 hours ago
UnitedHealth Group
The role involves organizing and maintaining health information records, including scanning, editing, and retrieving medical documents. The representative ensures documentation accuracy and tracks completion to meet regulatory requirements.
The Clinical Trial Manager serves as the primary operational point of contact for CROs and vendors to ensure late-stage clinical trials stay on track. Key duties include monitoring deliverables, reviewing study documents, tracking site activation, and managing TMF completeness and inspection readiness.
Medical Services Specialist with Swedish and Finnish Language- 100% Home Office
Conduent
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Full Time
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21 hours ago
Conduent
The specialist serves as the primary resource for customers, providing product and disease state information via telephone and email. They are responsible for managing inquiries to resolution, complying with industry regulations, and recording customer interactions in appropriate systems.
Freelance Medical Post-Editors (Spanish-English)
IQVIA Language Solutions
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Full Time
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21 hours ago
IQVIA Language Solutions
Translate, post-edit, and review clinical trial documentation to ensure medical and ethical standards are met. Enhance the readability and accuracy of scientific materials while collaborating with translation teams for quality control.
Process initial appointments, reappointments, and privileging applications for healthcare providers while ensuring compliance with regulatory standards. Perform primary source verification and maintain accurate provider records within credentialing systems like MD-Staff.
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Wedding Dress Specialist – Bridal Gown Alterations – New Kensington, PA
Thimble Alterations
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Full Time
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21 hours ago
Thimble Alterations
Perform complex alterations on wedding dresses of all silhouettes, including hemming, bodice adjustments, and custom bustle construction. Work with delicate fabrics and provide professional fitting services to bridal clients.
Medical Officer - Gastroenterologist
Tunnell Government Services
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Full Time
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21 hours ago
Tunnell Government Services
The Medical Officer serves as an expert clinical reviewer evaluating the safety and efficacy of gastroenterology-related medical devices and clinical studies. Responsibilities include reviewing IDEs, PMAs, and 510(k) submissions and providing expert opinions on post-market compliance and adverse event reports.
Remote Pulmonary Rehab Therapist *(Pulmonary Rehab Experience Required)
Aviary
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Full Time
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21 hours ago
Aviary
The therapist provides pulmonary rehabilitation, therapeutic programming, and goal setting to help patients manage recovery and healthy lifestyles. They collaborate with a multidisciplinary team to perform health assessments, monitor progress, and deliver specialized respiratory treatments.
Assess patient symptoms over the phone to determine urgency and provide clinical advice based on established protocols. Coordinate follow-up care with physicians and insurance companies while accurately documenting all assessments.
UKG PRO WFM Solution Consultant - Healthcare Advanced Scheduling – Full-time - Remote (USA )
Improvizations
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Full Time
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22 hours ago
Improvizations
Lead the full lifecycle implementation of UKG PRO WFM solutions, focusing on discovery, design, and configuration for healthcare clients. Translate business requirements into functional applications while managing testing and user adoption activities.
Outpatient Therapist (LCSW or LPC) - 100% Remote - Pennsylvania license required
Iris Telehealth for Providers
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Full Time
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22 hours ago
Iris Telehealth for Providers
Conduct comprehensive initial evaluations and establish treatment plans for patients ages 5 and older. Provide virtual therapy for conditions such as depression, anxiety, PTSD, and ADHD while collaborating with a multidisciplinary care team.
Remote Mental Health Therapist
Embark Behavioral Health
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Full Time
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22 hours ago
Embark Behavioral Health
Provide individual, family, and group therapy while developing personalized treatment plans and conducting intake assessments. Collaborate with a multi-disciplinary team to ensure comprehensive patient-centered care and effective discharge planning.
Coordinate and deliver telephonic clinical behavioral health services, including prospective, concurrent, and retrospective reviews to ensure medical necessity. Manage care plans, discharge planning, and communication between providers and members to optimize healthcare delivery.
The role is responsible for improving the quality and completeness of clinical documentation in legal medical records. This involves interacting with physicians and coding staff to ensure accurate reimbursement and severity of illness levels.
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Manage full-cycle, high-volume recruiting for caregivers across multiple markets to meet critical staffing needs. Partner with branch leaders and leverage sourcing tools to build qualified candidate pipelines and monitor recruiting metrics.
The Access Care Manager leads patient journey ownership and reimbursement strategies to ensure appropriate patient access to therapies. This role involves acting as a subject matter expert on payer policies and collaborating with healthcare providers and internal teams to resolve access barriers.
The Access Care Manager leads patient journey ownership and reimbursement strategies to ensure appropriate access to therapies. This involves coordinating care across providers, educating HCPs on coverage pathways, and collaborating internally to optimize account-level access workflows.
The Access Care Manager leads patient journey ownership and reimbursement strategies to ensure appropriate patient access to therapies. This role involves coordinating care across providers, educating HCPs on coverage pathways, and optimizing account-level workflows to reduce therapy initiation delays.
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