Skip to main content
David Careers

Remote Case Manager, Utilization Review & Appeals

Posted yesterday

quorum healthLexington (KY)
Registered NursesGeneral Medical and Surgical Hospitals

SENIORITY

Senior

SALARY

$65,000 - $90,000 per year

Apply (opens in a new tab)

About the role

Quorum Health Corporation is seeking a remote Utilization Review Specialist (Case Manager) to support admission decisions and appeals. The role requires an RN license and strong knowledge of criteria sets to support clinical appeals and quality reviews. Responsibilities include reviewing patient records, coordinating appeals, and ensuring timely documentation and reporting while coordinating with payer and hospital staff. This is a remote, full-time position with state residency eligibility.

Before you apply

Applying takes about a minute. These four things decide how fast it moves after that.

Your profile is current

It's what we read first. Occupations, seniority and locations matter more than a long history.

Two examples you can talk through

Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.

A number in mind

What you're on now and what would make you move. We negotiate better when we know both.

Your notice period

Employers plan around it, and it's the question that stalls offers most often.

Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.

More like this