Mercor seeks a leader in utilisation management and case management to guide clinical review operations in a remote contract role. You will coordinate with clinical teams, payers, and AI-enabled processes to ensure appropriate care decisions.
The position requires active RN licensure (MD/DO preferred) with 5+ years in UM or case management, including leadership experience, and deep knowledge of InterQual, MCG, or Milliman criteria. Strong written and verbal English skills are essential.
#J-18808-LjbffrRemote Case Management Leader (RN/Physician Advisor) in workfromhome at Unknown Company
This position is listed as contract and able to be worked remotely.