Utilization Management Nurse Specialist

2 days ago


Boise, Idaho, United States Cambia Health Solutions Full time
Join Our Mission to Transform Healthcare

Cambia Health Solutions is seeking a dedicated Utilization Management Nurse to join our team. As a key member of our organization, you will play a vital role in creating a person-focused and economically sustainable healthcare system.

About the Role

We are looking for a skilled nurse with experience in utilization management to work from home within Oregon, Washington, Idaho, or Utah. Your primary responsibility will be to ensure that our members receive the necessary care and services to achieve optimal health outcomes.

Key Responsibilities
  • Develop and implement effective utilization management strategies to improve healthcare outcomes
  • Collaborate with healthcare providers to ensure that our members receive high-quality care
  • Conduct thorough reviews of medical records to identify areas for improvement
  • Communicate with members and providers to ensure seamless care coordination
What We Offer

At Cambia Health Solutions, we offer a dynamic and supportive work environment that fosters growth and development. As a Utilization Management Nurse, you will have the opportunity to make a meaningful impact on the lives of our members and contribute to our mission to transform healthcare.



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