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Case Management Leader, AI Trainer

Mercor · Houston, TX · Utilization management and case management AI training work

Compensation

$100 – $150 /yr

Employment type

Full-time

Work setting

On-site

Location

Houston, TX

Schedule

Day shift

Posted

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Job overview

The Case Management Leader, AI Trainer role is remote; compensation is $100–$150 per hour. The posting identifies the work as contract and describes Mercor as connecting creative and technical talent with AI research labs. The leader oversees utilization and case management review while evaluating AI-generated clinical outputs and providing structured feedback for training datasets. The work supports clinical review quality and AI training.

What you'll do

  • Lead utilization and case management operations, including concurrent and retrospective review, discharge planning, and care coordination
  • evaluate AI-generated medical-necessity determinations and clinical review outputs
  • conduct or oversee reviews against InterQual, MCG, or Milliman guidelines
  • manage physician-advisor support for complex cases, peer-to-peer reviews, and appeals
  • coordinate care transitions with clinical teams, payers, and post-acute providers
  • and annotate AI outputs for training datasets.

What we're looking for

Skills & competencies
case management leader
ai trainer
utilization management
clinical review
discharge planning
care coordination
rn license
interqual
mcg
remote
$100–$150/hr
mercor
Work arrangement
  • Weekend coverage required

Why this role

Requires an active RN license, five or more years in utilization management, case management, or clinical review, including at least two years in leadership, and expertise in clinical review criteria and CMS inpatient rules. Physician-advisor or MD experience is preferred.

About the employer

Mercor is hiring for this role. Industry: Research and Development in the Physical, Engineering, and Life Sciences (except Nanotechnology and Biotechnology). Sector: 54.

Additional details

Industry sector
54
Industry
Research and Development in the Physical, Engineering, and Life Sciences (except Nanotechnology and Biotechnology)
Occupation code
29-1141.00
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