Remote Inpatient UM Clinical Specialist

Cambia Health Solutions; Oregon; Remote; USD 37,000 - 60,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off & holidays

401(k) with company match

Parental leave

Wellness programs

Job summary

Cambia Health Solutions is seeking an UM IP Clinical Specialist to support inpatient utilization management. You will review IP UM requests, gather information, and coordinate with licensed clinicians to ensure accurate, compliant decisions.

The role emphasizes timely, high-quality case handling in a fast-paced environment. In this position, you will work with providers and internal teams, maintaining documentation and confidentiality while contributing to continuous improvement initiatives.

Qualifications

• High school diploma or equivalent.
• Clinical experience required.
• At least 2 years of clinical experience preferred; CMA or CNA preferred.

Responsibilities

• Research and review IP UM requests; obtain necessary details and close cases accurately.
• Communicate with internal and external stakeholders; provide written notifications in compliance with regulations.
• Ensure timeliness and quality; adhere to corporate standards and regulatory requirements.

Skills

Clinical experience

Communication skills

EMR systems

Medical terminology

Independent worker

Team player

Education

High school diploma or equivalent

CMA/CNA preferred

Tools

Microsoft Office

Outlook

EMR systems

Billing and claims

Job description

Cambia Health Solutions is seeking an UM IP Clinical Specialist to support inpatient utilization management. You will review IP UM requests, gather information, and coordinate with licensed clinicians to ensure accurate, compliant decisions.

The role emphasizes timely, high-quality case handling in a fast-paced environment. In this position, you will work with providers and internal teams, maintaining documentation and confidentiality while contributing to continuous improvement initiatives.