Cambia Health Solutions is seeking a Clinical Specialist to support utilization management processes from a home-based model across select western states. You will review requests, gather information, and prepare cases for clinical review while coordinating with providers to obtain records and communicate determinations.
The role emphasizes regulatory compliance, accurate documentation, and collaboration with RN staff to optimize staffing and patient care.
#J-18808-LjbffrRemote Clinical Specialist - Utilization Management (UM) in workfromhome at Unknown Company
This position is listed as full time and onsite.