Remote Inpatient UM Clinical Specialist

Cambia Health Solutions; Seattle (WA); À distance; USD 31 409 000 - 60 967 000; Plein temps

Avantages offerts par ce poste

Work from home options

Health benefits

401(k) with company match

Résumé du poste

Cambia Health Solutions is seeking an Utilization Management Inpatient Clinical Specialist who will review IP UM requests, collaborate with licensed professionals, and ensure accurate documentation while maintaining patient focus.

The role supports remote work across WA, OR, ID, and UT with pay structures reflecting regional and national norms. Candidates with clinical experience and appropriate credentials are encouraged to apply.

Qualifications

• Clinical experience, preferably in inpatient settings.
• Strong oral and written communication skills for interactions with clinical staff.
• Apply knowledge of medical terminology and coding when researching IP UM cases.

Responsabilités

• Research and review IP UM requests to ensure information is complete.
• Communicate with internal and external stakeholders to issue notifications in accordance with regulations.
• Manage a high-volume caseload with accuracy, timeliness, and confidentiality.
• Adhere to corporate standards and collaborate with adjacent teams as needed.

Connaissances

Clinical experience

Communication skills

Formation

High school diploma or equivalent

CMA/CNA preferred

Description du poste

Cambia Health Solutions is seeking an Utilization Management Inpatient Clinical Specialist who will review IP UM requests, collaborate with licensed professionals, and ensure accurate documentation while maintaining patient focus.

The role supports remote work across WA, OR, ID, and UT with pay structures reflecting regional and national norms. Candidates with clinical experience and appropriate credentials are encouraged to apply.