RN Utilization Management Manager — Lead Clinical Access

Clinical Management Consultants

Portland (OR)

On-site

USD 95,000 - 135,000

Full time

7 days ago
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Job summary

Clinical Management Consultants seeks an RN leader for Health Plan Utilization Management in the Portland metro area. You will guide clinical review operations, support nursing staff, and uphold evidence-based decisions to ensure appropriate care and timely access for members.

The ideal candidate has utilization review experience and strong clinical reasoning, with collaboration across medical directors, case management, and social work to resolve barriers and improve performance.

Job description

Clinical Management Consultants seeks an RN leader for Health Plan Utilization Management in the Portland metro area. You will guide clinical review operations, support nursing staff, and uphold evidence-based decisions to ensure appropriate care and timely access for members.

The ideal candidate has utilization review experience and strong clinical reasoning, with collaboration across medical directors, case management, and social work to resolve barriers and improve performance.

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