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Utilisation Management / Case Management leader (RN/Physician-advisor)

$150
per hour
Hourly contract Remote Last verified 21 Jul 2026
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About the Role

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Utilisation Management and Case Management leaders — including RN UM directors, case management managers, and physician advisors — to evaluate AI tools designed to enhance clinical review, medical-necessity determination, and care-coordination workflows. Your clinical and operational expertise will directly shape AI systems that improve utilisation performance, reduce unnecessary care, and support value-based ca

What You'll Do

  • Lead utilisation management and/or case management operations, including concurrent review, retrospective review, discharge planning, and care coordination.
  • Evaluate AI-generated medical necessity determinations, clinical review outputs, and UM decision-support recommendations for accuracy and clinical appropriateness.
  • Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission, continued stay, and level-of-care determinations.
  • Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals.

You're a Good Fit If You

  • Relevant professional experience in this field.
  • Strong written communication skills.
  • Available for the stated weekly commitment.

Role Highlights

Pay
$100-$150/h
Contract
Hourly contract
Location
Remote
Category
Research
Posted
a month ago
Job ID
WE-6074

Pay & Payout

Independent contractor engagement, fully remote. Mercor pays weekly via Stripe or Wise.

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