Remote Utilization Review Case Manager & Appeals Specialist

Jobgether, listing on behalf of a partner company, seeks a Case Manager – Utilization Review Specialist in the United States. The remote role focuses on admission and concurrent reviews, appeals coordination, and ensuring compliance with clinical and payer requirements.

A clinical nursing background with extensive utilization management experience is required. You will analyze medical records, assess medical necessity, and collaborate with physicians, medical directors, and payer representatives

For the Remote Utilization Review Case Manager & Appeals Specialist position at Jobgether, we are reviewing applications now.

All applications are reviewed carefully by our team.

This is a Full Time role.

The position is based in Boston, MA, United States.

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

The advertised compensation is 85..

We aim to respond to suitable candidates as soon as possible.