Clinical Care Manager- Utilization Review Nurse
Guidehealth
About this role
A Clinical Care Manager is responsible for evaluating healthcare services for compliance and medical necessity, supporting care coordination, and ensuring high-quality, patient-centered care through utilization review. The role involves collaboration with healthcare providers, managing case records, and maintaining regulatory standards in a remote work environment.
Skills
About Guidehealth
guidehealth.comGuidehealth 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.
About Guidehealth
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
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and employee contacts for Guidehealth.
Salary
$121k – $163k
per year