Remote RN Utilization Review Case Manager
Jobgether
Lexington, KY
- Remote job
Jobgether is seeking an experienced Case Manager – Utilization Review Specialist for a remote role in the United States. You will apply clinical nursing expertise to evaluate records, assess medical necessity, and develop evidence-based appeals, collaborating with physicians, medical directors, and payers to improve reimbursement outcomes and compliance. You will conduct admissions and concurrent reviews, coordinate multi-level appeals, and monitor outcomes while maintaining HIPAA-compliant #J-18808-Ljbffr Jobgether
Vacancy posted 1 day ago
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