Jobgether is partnering with a healthcare team to fill a Case Manager – Utilization Review Specialist role. This remote position oversees admission and concurrent reviews, supports appeals, and coordinates with physicians, nurses, and payers to ensure compliant, efficient patient care and financial performance.
You will apply clinical nursing expertise to evaluate records, determine medical necessity, draft appeals, and manage documentation while upholding HIPAA and regulatory standards.
#J-18808-LjbffrRemote Utilization Review Case Manager in crystal bay at Unknown Company
This position is listed as full time and able to be worked remotely.