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Nurse for Utilization Management
2 months ago
We are seeking a dedicated **Utilization Management Nurse** to contribute significantly to the efficiency and effectiveness of healthcare delivery for our members. At **Cambia Health Solutions**, our focus is on delivering sustainable and person-centered healthcare solutions that truly impact lives.
Key Responsibilities:- Perform utilization management assessments to evaluate medical necessity and adherence to guidelines.
- Work collaboratively with multidisciplinary teams and external stakeholders to ensure smooth transitions of care.
- Act as a knowledgeable resource for both internal and external parties, providing timely and accurate information.
- Engage in quality enhancement initiatives by pinpointing areas for improvement.
- Associate or Bachelor's Degree in Nursing or a related discipline.
- A minimum of 3 years of experience in case management, utilization management, or similar fields.
- Current licensure in a health or human services profession.
- Excellent communication and organizational abilities.
At **Cambia Health Solutions**, we are committed to streamlining healthcare processes and enhancing lives. Be part of our vision for a healthier tomorrow.
