Cambia Health Solutions, Inc. is seeking an experienced Utilization Management Nurse to conduct prospective, concurrent, and retrospective reviews and apply clinical criteria to determine medical necessity.
You will collaborate with physician advisors to support appropriate care and payments. Based on licensure in states served and nursing credentials, you will help coordinate transitions of care, respond to inquiries, and maintain accurate documentation while adhering to privacy standards.
#J-18808-LjbffrUtilization Management Nurse in workfromhome at Unknown Company
This position is listed as full time and onsite.