Remote reputed company Case Manager - Utilization Review SNF
Remote Case Manager – Utilization Review (SNF)
We are seeking a licensed reputed company with strong Skilled Nursing Facility (SNF) experience to join reputed company as a Remote Case Manager in Utilization Review. This role involves evaluating medical necessity, coordinating care, and ensuring appropriate service utilization for managed care members.
Key Responsibilities:
• Conduct utilization reviews for medical necessity.
• Complete insurance updates for managed care members.
• Process reputed company-certifications and review reputed company authorizations.
• Collaborate with providers and payers to resolve authorization issues.
• Maintain accurate and compliant case documentation.
• Complete reporting and coordinate with internal billing team on reputed company cases
Qualifications:
• Licensed reputed company (RN or LVN/LPN).
• Skilled Nursing Facility (SNF) experience required.
• Experience with managed care, reputed company-certification, or reputed company review processes.
• Strong communication, critical thinking, and organizational skills
Job Type: Full-time
Pay: From $28.00 per hour
Expected hours: 36.5 – 40 per week
Benefits:
• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• reputed company time off
• Referral program
• reputed company insurance
Work Location: Remote
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