Remote Case Manager: Utilization Review Specialist; RN

Jobgether, on behalf of a partner company, seeks an experienced Case Manager – Utilization Review Specialist to oversee admission and concurrent reviews remotely in the United States. You will evaluate medical records for medical necessity, coordinate appeals, and collaborate with clinicians and payers to improve outcomes and financial performance.

You will apply clinical nursing expertise, support quality improvements, and work independently within HIPAA-compliant processes while maintaining

This posting is for the Remote Case Manager:
Utilization Review Specialist (RN) role at Jobgether, based in Salem, OR, United States.

Learn more about the Remote Case Manager:
Utilization Review Specialist (RN) role in the description above.

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