Case Review Jobs

HPD is hiring a detail-oriented New Construction Tax Analyst to review and validate new residential tax benefit applications, ensure program compliance, and support program administration.

The NYC Department of Housing Preservation and Development is hiring a detail-oriented Preservation Tax Analyst to review J-51 tax benefit applications and help preserve the city’s affordable housing stock.

University of Maryland Upper Chesapeake Health is hiring a Utilization Review Nurse (PRN) to conduct utilization reviews, ensure compliance, and work with care teams to optimize patient care and reimbursement.

Lead clinical operations for CenterWell Home Health's Danville location as an experienced Registered Nurse responsible for patient care oversight, staff supervision, and regulatory compliance.

Serve as a clinical resource on Expert Institute’s Legal Nurse Consulting team, performing case intakes and medical record reviews to support expert witness identification for plaintiff litigation.

Provide clinical utilization review and care coordination for underserved patient populations as a Utilization Management Registered Nurse in Fort Lauderdale.

Lead a team of investigators at SGS/Peraton to drive high-quality Medicare fraud, waste, and abuse investigations, ensuring timely case development and referrals.

Deciphera is hiring a Medical Director, Pharmacovigilance to lead medical safety review, signal evaluation and benefit-risk activities for oncology products from the Waltham office.

Emory Healthcare is looking for an experienced RN Care Manager to coordinate care for clinically complex patients, manage utilization review, and facilitate timely, cost-effective discharges.

Experienced acute-care RN needed to serve as a flexible Case Manager coordinating care, managing length of stay, and facilitating safe discharges across the Northwestern Medicine system.

Experienced RN or LPN/LVN needed to perform utilization review and clinical case assessments for HealthHelp’s specialty benefits management team in Houston, ensuring compliance and quality-driven care decisions.

Atrium Health Union is hiring an RN Care Manager (PRN days) to provide case management, care coordination, and documentation for patients across multiple care settings.

Provide clinical chart review and utilization management support at Saint Mary’s Regional Medical Center, ensuring appropriate criteria for admission and continued treatment while coordinating with clinical teams and payers.

OhioHealth seeks an experienced RN Care Manager to coordinate patient-centered care, apply evidence-based interventions, and collaborate across the care continuum at Riverside Methodist Hospital.

Peraton's SafeGuard Services seeks a seasoned Medical Review Manager (RN) to lead and develop a nursing medical-review team focused on detecting and referring Medicare and Medicaid fraud, waste, and abuse.

Transamerica seeks a detail-oriented Life Case Manager (remote) to support advisors by processing annuity and life insurance cases, resolving issues, and ensuring timely policy placement.

Experienced RN (Utilization Management) needed to perform clinical reviews and care coordination at Vandenberg Space Force Base, ensuring quality, compliance, and cost-effective care.

Support startups and founders as an Immigration Specialist at a tech-driven immigration startup, preparing high-complexity O-1A, EB-1A, and EB-2 NIW cases while improving processes and client experience.

Lead seeks a detail-oriented Financial Crimes Quality Control Analyst II to perform independent QC reviews of CTRs, alerts, and cases and support BSA program integrity across products and teams.

Dane Street seeks a detail-oriented Group Health Customer Service Representative to manage case intake, reviewer scheduling, and client communications within a remote team.

The Centralized Appeals Unit at the University of New Orleans is hiring a Coordinator 1 to manage Medicaid appeals, produce case documentation, and ensure policy compliance.

Support clinical review workflows at Telligen by coordinating medical information, communicating review decisions, and ensuring data integrity in a hybrid in-office role.

Highmark is hiring a Remote Medical Case Manager (PA-licensed) to coordinate care, develop individualized plans, and manage complex medical and psychosocial cases for Pennsylvania members.

Serve as an Agency Attorney (Level II) at the NYPD to analyze Early Intervention Program candidates, perform comprehensive legal and evidence reviews, and recommend interventions to improve member performance and compliance.

CGS is hiring a Paralegal II in Houston to provide litigation and eDiscovery support for a fast-paced in-house government legal team.

NYU is hiring a Title IX Program Manager to lead pre- and post-hearing processes, manage adjudication logistics and data tracking, and provide neutral support and policy guidance in cases of sexual and relationship misconduct.

UChicago Medicine Ingalls is hiring a full-time onsite Utilization Management Case Manager (RN) to lead utilization reviews, coordinate care across teams and payers, and support clinical and operational outcomes at its Harvey campus.

Lead QA efforts for AssistRx’s copay assistance programs to ensure high-quality patient support, compliance, and continuous improvement across specialty pharmacy operations.

Support coordinated home health care as a Patient Service Coordinator by managing schedules, processing visits and ensuring continuity of care for patients in the Brooklyn Park branch.

Provide inpatient rehabilitation case management (RN or LMSW) on a per-diem basis, coordinating care, discharge planning, and utilization management for complex rehab patients at Ochsner Rehabilitation Hospital.

An experienced RN is sought for the Dialysis Care Coordinator role at UVM Medical Center to lead multidisciplinary dialysis care and coordinate services for a defined patient population.

Lead the case management team at Select Specialty Hospital in Madison, directing utilization review, discharge planning, payer coordination, and staff development for medically complex patients.

Dane Street is recruiting NY-licensed, Board-Certified Occupational Medicine physicians to perform flexible, remote utilization reviews and produce guideline-based decisions on a per-case contract basis.

Lead clinical review and care coordination for medically complex MassHealth members by supervising eligibility/authorization processes, interpreting regulations, and partnering with providers and state agencies.