Remote RN Utilization Review Case Manager I

CorVel is seeking a Utilization Review Case Manager to gather demographic and clinical data for in-patient and outpatient reviews, certify medical necessity, and assign appropriate LOS while supporting the Case Management department’s goals. This remote role requires RN licensure and 4+ years of clinical experience. The position emphasizes collaboration with claims staff, physicians, and clients, strong documentation, and knowledge of CPT/ICD coding in a fast-paced environment.