Jobgether is seeking an experienced Case Manager – Utilization Review Specialist for a remote role in the United States. You will apply clinical nursing expertise to evaluate records, assess medical necessity, and develop evidence-based appeals, collaborating with physicians, medical directors, and payers to improve reimbursement outcomes and compliance.
You will conduct admissions and concurrent reviews, coordinate multi-level appeals, and monitor outcomes while maintaining HIPAA-compliant
#J-18808-LjbffrRemote RN Utilization Review Case Manager in workfromhome at Unknown Company
- Typical pay
- $84,500–$129,531
For context, most registered nurses earn between $84,500–$129,531 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.