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

hackajob is collaborating with Mercor to connect them with exceptional professionals for this 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 care objectives. Responsibilities - Lead utilisation management and/or case management operations, including concurrent review, retrospective review, di