Remote Utilization Management Nurse
Cambia Health Solutions
Cambia Health Solutions seeks an Utilization Management Nurse to conduct reviews (prospective, concurrent, retrospective) and ensure medical necessity and policy compliance. You will consult with physician advisors and collaborate with interdisciplinary teams to improve transitions of care and patient outcomes.
The role emphasizes applying evidence-based criteria, extensive documentation, and strong communication skills to support members, providers, and regulatory bodies.
#J-18808-LjbffrVacancy posted 4 days ago
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