Remote Utilization Management Case Manager

Lehigh Valley Health Network, Inc.; New York (NY); Remote; USD 70,000 - 95,000; Full time

Job summary

Lehigh Valley Health Network is hiring for a Utilization Management position in Pennsylvania. The role reviews patient admissions and assigns appropriate inpatient or outpatient status to ensure payer compliance and efficient use of hospital resources.

You will coordinate with precert/preservices, appeals, patient access, billing, coding, and finance to complete reviews accurately. Required are a Specialized Diploma in nursing with 2 years of utilization review experience, knowledge of

Job description

Lehigh Valley Health Network is hiring for a Utilization Management position in Pennsylvania. The role reviews patient admissions and assigns appropriate inpatient or outpatient status to ensure payer compliance and efficient use of hospital resources.

You will coordinate with precert/preservices, appeals, patient access, billing, coding, and finance to complete reviews accurately. Required are a Specialized Diploma in nursing with 2 years of utilization review experience, knowledge of