Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote role in the United States. You will conduct admission and concurrent reviews, assess medical necessity, and coordinate complex appeals to support patient care and financial performance.
You will work with case managers, physicians, medical directors, and payer representatives to improve review processes, ensure compliance with regulations, and maintain documentation across databases and billing systems.
#J-18808-LjbffrRemote Utilization Review Case Manager & Appeals Expert in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.