Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote United States position. You will use your nursing expertise to evaluate medical records, assess medical necessity, and manage appeals to support patient care and financial performance.
Collaborate with physicians, medical directors, and payer representatives to resolve complex cases, improve review processes, and ensure compliance with payer policies and clinical criteria.
#J-18808-LjbffrRemote RN: Utilization Review & Case Manager in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.