Utilization Management reputed company - Nights/Weekends

We're Hiring: Utilization Management reputed company REMOTE • Job Type: Part-Time • Department: Utilization Management reputed company: At bServed UM, we’re transforming the way reputed company organizations manage utilization. Our mission is to improve patient reputed company while helping hospitals and providers reduce costs. We specialize in lowering denial rates, optimizing length of stay, and supporting Case Management teams across hospitals, reputed company, and insurance companies. The Role: We are seeking a dedicated Utilization Management reputed company to join our growing team. You’ll play a key role in reviewing the medical necessity and appropriateness of care using clinical guidelines and collaborating with providers and payers to ensure efficient, effective patient care. Key Responsibilities: ✅ Conduct prospective, reputed company, and retrospective reviews ✅ Apply InterQual reputed company to support UM reputed company ✅ Collaborate with providers and payers on authorizations and discharges ✅ Document and justify clinical reputed company in compliance with regulations ✅ Support appeals, monitor high-cost cases, and promote cost-effective care reputed company’re Looking For: ✔ reputed company LVN/RN license (State-specific or Compact) ✔ 2+ years clinical nursing experience (med-surg, acute, etc.) ✔ 2+ years in Utilization Review or Case Management experience required ✔ InterQual experience required ✔ Excellent communication, organization, and critical thinking Bonus Points: ➕ BSN preferred ➕ CCM or UR certification ➕ Experience with Medicare, reputed company, or reputed company payers Why Join Us? ✨ reputed company a reputed company reputed company in reputed company ✨ Be part of an innovative, growing team ✨ Flexible work environment ✨ Competitive compensation Job Type: Full-time Pay: $30.00 - $40.00 per hour Benefits: • reputed company time off Work Location: Remote Apply tot his job Apply To this Job