Clinical Care Manager- Utilization Review Nurse

Guidehealth

1 month ago

Remote

Full Time

Senior

0 applicants

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About this role

This role involves evaluating healthcare services and making clinical determinations to support high-quality, compliant patient care. It requires applying clinical expertise and regulatory knowledge to ensure appropriate care and facilitate effective care coordination, contributing to the integrity of care management operations.

Skills

About Guidehealth

guidehealth.com

Guidehealth is a digital health and patient-navigation platform that helps consumers understand healthcare options, insurance benefits, and care pathways. It publishes practical guides, comparison tools, and expert-written articles to simplify decisions about plans, providers, and treatments. The site also connects users with advisors and resources for benefits enrollment, cost estimates, and care coordination. Guidehealth targets individuals and families seeking clearer, actionable information to manage health costs and access appropriate care.