devoted · Healthcare · Live in: United States
Posted 2026-10-19 · Verified 2026-10-31
Job Description A bit about this role: The Clinical Guide Part A will be part of the Utilization Management team, responsible for inpatient, behavioral health, and/or post-acute authorization review in alignment with CMS and Medicare Advantage regulations. Reviews medical records to evaluate the medical necessity and appropriateness of requested inpatient and/or post-acute services in accordance with established clinical criteria and CMS guidelines. Schedule: This is a full-time, remote position working five 8-hour days. We are hiring for several schedules: Tuesday – Saturday, 9:00 AM – 6:00 PM ET Sunday – Thursday, 9:00 AM – 6:00 PM ET Monday – Friday, 11:00 AM – 8:00 PM ET Monday –... Read the full ad