Jobs by Specialisation
Medical Necessity Guidelines
Jobs
No openings found right now · Updated daily
Open Roles
0
Avg Salary
$187k
Remote-Friendly
56%
Added This Week
0
Sectors with Medical Necessity Guidelines Roles
In-Demand Skills
Physician match reviewer in Imaging casesDiscusses determinations (peer to peer phone calls) with requesting physicians or ordering providersUtilizes medical/clinical review guidelines and parametersAids and acts as a resource to Initial Clinical ReviewersEnsures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate mannerUtilization ManagementMay assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system supportParticipates in on-going training per inter-rater reliability processProvides clinical rationale for standard and expedited appealsVascular Surgery
16 of 0 positions Updated daily
Patient Care Manager - MSW
Munson Healthcare
Cadillac, Michigan, United States Onsite mid Direct
Senior Pre-Certification Coordinator
The Ohio State University Wexner Medical Center
United States of America Mid Direct
Field Medical Director, Vascular Surgery (Part-time or Full-time)
Evolent
United States of America Senior Direct
Family Medicine-Physician Reviewer-Field Medical Director, Radiology
Evolent
United States of America Senior Direct
Patient Revenue Cycle Senior Coordinator
The Ohio State University Wexner Medical Center
United States of America Remote Entry Direct
Medical Claims Coding Auditor and Itemized Bill Reviewer
Healthcare Management Administrators
Remote Remote Mid Direct
Family Medicine-Physician Reviewer-Field Medical Director, Radiology (Full-Time or Part-time)
Evolent
United States of America Mid Direct
Field Medical Director, Radiation Oncology
Evolent
United States of America Senior Direct
Patient Revenue Cycle Senior Coordinator
The Ohio State University
United States of America Remote Entry Direct
Reviewer I, Medical
BlueCross BlueShield of South Carolina
Myrtle Beach, South Carolina Hybrid Direct
Field Medical Director, Radiology
Evolent
United States of America Senior Direct
Field Medical Director, Radiology (Part Time)
Evolent
United States of America Remote Senior Direct
RN/Social Work Patient Care Manager - Full Time Day Shift (32HRs/Week)
Munson Healthcare
Traverse City, Michigan, United States No not-applicable Direct
Reviewer I, Medical
BlueCross BlueShield of South Carolina
Myrtle Beach, South Carolina Hybrid Direct
Field Medical Director, Radiology
Evolent
United States of America Senior Direct
Field Medical Director, Radiology (Part Time)
Evolent
United States of America Remote Senior Direct
Common Questions
- How many Medical Necessity Guidelines jobs are available?
- JobsGlitch lists active Medical Necessity Guidelines jobs sourced daily from Greenhouse, Lever, Ashby, Workday, and other top ATS platforms.
- Where are most Medical Necessity Guidelines jobs located?
- Medical Necessity Guidelines jobs are available globally — including remote positions.
- Are there remote Medical Necessity Guidelines jobs?
- Yes — 56% of current Medical Necessity Guidelines job listings are remote-friendly.
- Which companies are hiring for Medical Necessity Guidelines roles?
- Top companies currently hiring in Medical Necessity Guidelines include Evolent, Munson Healthcare, The Ohio State University Wexner Medical Center.