Community Health Systems, Inc. is seeking a PRN Remote Clinical Utilization Review Specialist to evaluate medical necessity and efficiency of hospital services.
You will support admissions and continued stays, assist with denials and appeals, and collaborate with clinicians to meet payer requirements and maintain regulatory compliance. You will document activities in case management software and EHR, coordinate with insurers, and identify opportunities to optimize hospital resource use.
#J-18808-LjbffrRemote Utilization Review Nurse | Case Management & Appeals in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.