Remote AI Care Evaluation Case Manager

Medcruit Limited; United States; Remote; USD 146.000 - 239.000; Vollzeit

Benefits dieser Stelle

Weekly Stripe payments

Zusammenfassung

Appsierra Group is seeking an experienced Case Manager Expert to apply care coordination expertise to evaluate and improve AI models. You will author realistic care coordination scenarios, develop reference answers, and evaluate AI-generated plans for clinical appropriateness and benefit accuracy.

This fully remote, contract role requires hands-on discharge planning and utilization review experience, with at least 10 hours per week.

Qualifikationen

• Active RN or LCSW license or CCM certification.
• 2+ years of case management experience in hospital, payer, or community setting.
• Experience in discharge planning, utilization review, or complex care coordination.
• Excellent written English for care plans and decisions.
• Available for at least 10 hours per week.

Aufgaben

• Author realistic care coordination scenarios spanning admission through post-acute placement.
• Write reference answers explaining the reasoning behind each level-of-care decision.
• Evaluate AI-generated care plans for clinical appropriateness and benefit accuracy.
• Identify plans that may seem reasonable but could leave a patient without appropriate placement or lead to a denial.
• Clearly document care-plan reasoning so another case manager can follow and evaluate it.

Kenntnisse

RN or LCSW license

CCM certification

2 years case management experience

discharge planning

utilization review

clear written English

availability 10 hours per week

InterQual or MCG criteria

payer-side utilization management

Jobbeschreibung

Appsierra Group is seeking an experienced Case Manager Expert to apply care coordination expertise to evaluate and improve AI models. You will author realistic care coordination scenarios, develop reference answers, and evaluate AI-generated plans for clinical appropriateness and benefit accuracy.

This fully remote, contract role requires hands-on discharge planning and utilization review experience, with at least 10 hours per week.