Utilization Management - Inpatient to Home Transitions Clinical Specialist
Cambia Health Solutions
About this role
The Utilization Management - Inpatient Clinical Specialist at Cambia supports inpatient UM case work by receiving, researching, and acting on documentation and requests. This remote role partners with licensed health professionals, understands medical records and terminology, and helps UM nurses by preparing and validating information to support clinical reviews. The position is focused on improving member health journeys and ensuring accurate, timely case processing.
Skills
Qualifications
About Cambia Health Solutions
cambiahealth.comCambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to create a person-focused and economically sustainable healthcare system. Discover how Cambia’s dedication to cutting-edge innovation and positive transformation is helping change the healthcare industry.
Recent company news
Talk Business & PoliticsArkansas Blue Cross and Blue Shield, Cambia Health Solutions affiliate
Nov 6, 2025
The Arkansas Democrat-GazetteArkansas Blue Cross and Blue Shield, Oregon-based Cambia Health Solutions to form strategic affiliation
Nov 6, 2025
Business WireArkansas Blue Cross and Blue Shield and Cambia Health Solutions Join Together to Make Health Insurance Work Better for Their Local Communities
Nov 6, 2025
Yahoo FinanceCambia Health Solutions Welcomes Kara Beeler as Chief Human Resources Officer
Nov 12, 2025
The Forum of Fargo-MoorheadBlue Cross Blue Shield of North Dakota pursues affiliation with Oregon health care company
Aug 21, 2025
About Cambia Health Solutions
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
Unlock Company Insights
View leadership team, funding history,
and employee contacts for Cambia Health Solutions.
Salary
$49k – $84k
per year
More jobs at Cambia Health Solutions
Similar Jobs
Licensed Vocational Nurse, Utilization Management
AltaMed Health Services
UM Coordinator (Inpatient, Remote)
Alignment Health
Senior Manager, Inpatient Utilization Management (California LVN / RN Required)
Alignment Health
Clinical Reviewer (Inpatient), Behavioral Health
Tufts Health Plan
UM Coordinator (Inpatient)
Alignment Health
RN, Registered Nurse Utilization Review Nurse
quantum-health