Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote position based in the United States. You will oversee admission and concurrent utilization reviews, assess medical necessity, and coordinate administrative and clinical appeals to support appropriate patient care and financial performance.
You will apply your clinical nursing expertise to evaluate records, collaborate with clinicians, and ensure compliance with payer requirements and regulations.
#J-18808-LjbffrRemote Utilization Review Case Manager & Appeals Lead in ma at Unknown Company
This position is listed as full time and able to be worked remotely.