Remote RN: Utilization Review & Case Management Specialist
Quorum Health Corporate
New York, NY
- Remote job
Quorum Health Corporate is seeking a remote Utilization Review Specialist with a registered nurse background to manage admission decisions and concurrent reviews, ensuring compliance with payer and regulatory standards. Responsibilities include coordinating appeals, documenting denials, and collaborating with health-care staff to resolve issues efficiently. The role emphasizes data abstraction, workflow improvement, and adherence to HIPAA requirements. #J-18808-Ljbffr Quorum Health Corporate
Vacancy posted 2 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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