Partner Company is seeking a Case Manager – Utilization Review Specialist for a fully remote position based in the United States. You will oversee admission and concurrent utilization reviews, assess medical necessity, and coordinate appeals to support patient care and financial performance.
You will apply clinical nursing expertise to evaluate records, identify denials, and work with physicians, directors, and payer representatives to resolve complex cases and improve review processes.
#J-18808-LjbffrRemote Utilization Review Case Manager & Appeals (RN) in ca at Unknown Company
This position is listed as full time and able to be worked remotely.