Jobgether, listing on behalf of a partner company, seeks a Case Manager – Utilization Review Specialist in the United States. The remote role focuses on admission and concurrent reviews, appeals coordination, and ensuring compliance with clinical and payer requirements.
A clinical nursing background with extensive utilization management experience is required. You will analyze medical records, assess medical necessity, and collaborate with physicians, medical directors, and payer representatives
#J-18808-LjbffrRemote Utilization Review Case Manager & Appeals Specialist in boston at Unknown Company
This position is listed as full time and able to be worked remotely.