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Specialized Roles:
RN Nurse

Remote RN Utilization Review & Appeals Specialist

Remote / Online - Candidates ideally in
Rio Rancho, Sandoval County, New Mexico, 87174, USA
Listing for: Jobgether
Full Time, Remote/Work from Home position Listed on 2026-11-06
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 70000 - 100000 USD Yearly USD 70000.00 100000.00 YEAR

Job Description & How to Apply Below

Jobgether is partnering with a healthcare organization to hire a Case Manager - Utilization Review Specialist for a full-time remote role based in the United States. You will oversee admission and concurrent reviews, assess medical necessity, and coordinate appeals to support appropriate patient care and financial performance.

You will apply clinical nursing expertise to evaluate records, collaborate with physicians and payer representatives, and contribute to quality improvement initiatives in

We are seeking a motivated Remote RN Utilization Review & Appeals Specialist to join Jobgether in Santa Fe, NM, United States.

This Full Time opportunity is for the Remote RN Utilization Review & Appeals Specialist role at Jobgether.

Consider building your career as a Remote RN Utilization Review & Appeals Specialist at Jobgether.

The Remote RN Utilization Review & Appeals Specialist position in the Bio & Pharmacology & Health field is open for applications.

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