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Remote Case Manager: Utilization Review Specialist

Remote / Online - Candidates ideally in
Pahrump, Nye County, Nevada, 89041, USA
Listing for: Jobgether
Full Time, Remote/Work from Home position Listed on 2026-11-06
Job specializations:
  • Healthcare
Salary/Wage Range or Industry Benchmark: 90000 - 120000 USD Yearly USD 90000.00 120000.00 YEAR

Job Description & How to Apply Below

Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote position based in the United States. You will oversee admission and concurrent utilization reviews, identify potential denials, and coordinate appeals to support patient care and financial performance.

Apply clinical nursing expertise to evaluate medical records, assess medical necessity, and develop evidence-based appeals. Collaborate with physicians, case managers, and payer representatives to resolve complex

This posting is for the Remote Case Manager:
Utilization Review Specialist role at Jobgether, based in NV, United States.

If your experience matches this role, we encourage you to apply.

All applications are reviewed carefully by our team.

This is a Full Time role.

The position is based in NV, United States.

This opportunity is part of our work in Bio & Pharmacology & Health.

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