Jobgether is seeking a Case Manager – Utilization Review Specialist for a fully remote role in the United States. You will evaluate medical records for necessity, coordinate administrative and clinical appeals, and work with physicians, medical directors, and payer representatives to improve review outcomes.
Applicants should have strong nursing experience in acute care and solid knowledge of payer policies and regulatory standards.
#J-18808-LjbffrRemote Case Manager - Utilization Review Specialist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.