Remote RN Case Manager: Utilization & Appeals Expert
Jobgether
Partner Company is seeking an experienced Registered Nurse for a fully remote Case Manager – Utilization Review Specialist position in the United States. The role focuses on admission reviews, concurrent reviews, and developing evidence-based appeals to support appropriate patient care and financial performance.
You will analyze clinical records, determine medical necessity, and collaborate with physicians, medical directors, and payer representatives to resolve complex cases and improve review
#J-18808-LjbffrVacancy posted 2 days ago
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