Remote RN Utilization Review Case Manager
jobgetherLexington (KY)
Remote RN Utilization Review Case Manager
Posted yesterday
jobgetherLexington (KY)
SENIORITY
Senior
About the role
Jobgether is seeking an experienced Case Manager – Utilization Review Specialist for a remote role in the United States. You will apply clinical nursing expertise to evaluate records, assess medical necessity, and develop evidence-based appeals, collaborating with physicians, medical directors, and payers to improve reimbursement outcomes and compliance.
You will conduct admissions and concurrent reviews, coordinate multi-level appeals, and monitor outcomes while maintaining HIPAA-compliant
Before you apply
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Your profile is current
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Two examples you can talk through
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A number in mind
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Your notice period
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