Remote Utilization Management Nurse - RN
Cambia Health Solutions, Inc.
Utilization Management Nurse at Cambia Health Solutions, Inc. works from home across Oregon, Washington, Idaho or Utah, with preference for Idaho/ Utah residents.
The role performs prospective, concurrent and retrospective reviews to ensure medical necessity and appropriate payments, collaborating with physician advisors and interdisciplinary teams. The position emphasizes clinical expertise, policy interpretation, and timely member communications while supporting quality improvement and
#J-18808-LjbffrVacancy posted more than 2 months ago
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