Remote Utilization Management RN Impact Health Outcomes

Cambia Health Solutions, Inc.; Idaho; Remoto; USD 48.000 - 79.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental and vision coverage

Annual health savings account employer

Generous paid time off and holidays

401(k) with company match

Parental leave

Descrizione del lavoro

Cambia Health Solutions, Inc. is seeking a Utilization Management Nurse to perform prospect, concurrent, and retrospective reviews from a remote setting across Oregon, Washington, Idaho or Utah.

The role requires an Associate or Bachelor's degree in Nursing or a related field, active RN licensure, and approximately 3 years of experience in case/ utilization management with strong communication and time management skills.

Competenze

• 3 years of case management or utilization management experience.
• Current RN license (or equivalent in applicable state) with active, unrestricted status.
• Licensure/certification in a state or territory allowing independent clinical assessment.
• Bachelor’s or higher in health or human services preferred for behavioral health roles.

Mansioni

• Perform prospective, concurrent and retrospective utilization reviews.
• Apply evidence-based criteria to determine medical necessity.
• Collaborate with care teams to facilitate transitions of care.
• Maintain accurate documentation and respond to inquiries in a timely manner.

Conoscenze

Case management

Utilization management

Interdisciplinary collaboration

Communication

Time management

Formazione

Associate or Bachelor’s Degree in Nursing or related field

Strumenti

Microsoft Office

Outlook

Healthcare documentation systems

Descrizione del lavoro

Cambia Health Solutions, Inc. is seeking a Utilization Management Nurse to perform prospect, concurrent, and retrospective reviews from a remote setting across Oregon, Washington, Idaho or Utah.

The role requires an Associate or Bachelor's degree in Nursing or a related field, active RN licensure, and approximately 3 years of experience in case/ utilization management with strong communication and time management skills.