Jobgether, on behalf of a partner company, seeks an experienced Case Manager – Utilization Review Specialist to oversee admission and concurrent reviews remotely in the United States. You will evaluate medical records for medical necessity, coordinate appeals, and collaborate with clinicians and payers to improve outcomes and financial performance.
You will apply clinical nursing expertise, support quality improvements, and work independently within HIPAA-compliant processes while maintaining
#J-18808-LjbffrRemote Case Manager: Utilization Review Specialist (RN) in salem at Unknown Company
This position is listed as full time and able to be worked remotely.