Remote RN - Utilization Review & Case Management Specialist
Jobgether
Provo, UT
- Remote job
Jobgether is partnering with a U.S.-based healthcare employer to recruit a Case Manager – Utilization Review Specialist for a fully remote role in the United States. The position focuses on admission and concurrent reviews, medical necessity determinations, and coordination of multi-level appeals to support appropriate patient care and financial performance. The role leverages clinical nursing expertise, analytical thinking, and strong communication to improve review processes. #J-18808-Ljbffr Jobgether
Vacancy posted 3 days ago
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$43.93 per hour
...Mid = $57.10 Max = $70.28 Summary The RN Utilization Review Specialist is responsible for conducting... ...focuses exclusively on utilization management functions including admission review... ...monitors length of stay and identifies cases at risk for medical necessity denial...Hourly payFull timeLocal areaShift workNight shift- Wellstar Cobb Hospital in Georgia is seeking a Utilization Management (UM) Nurse to conduct medical necessity reviews and coordinate safe transitions of care. The role... ...at least 3 years of clinical experience, strong case management skills, and proficiency with EPIC and...
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HealthCare Support
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