About this opportunity
Cambia Health Solutions lists this Remote Utilization Management Nurse – Care That Counts opportunity in coeur d'alene, Idaho. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Cambia Health Solutions is hiring a Nurse for Utilization Management to perform prospective, concurrent, and retrospective reviews ensuring medical necessity and policy compliance. You will apply clinical judgment, consult with physician advisors, and coordinate with care teams to support smooth transitions and quality outcomes.
The role emphasizes documentation, timely responses, and participation in improvement efforts, with remote work options and state licensure requirements across Idaho,
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Worksite address
coeur d'alene, ID, 83814, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.