Utilization Management - Inpatient to Home Transitions Clinical Specialist
Cambia Health Solutions(1 month ago)
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.
Required Skills
- Clinical Experience
- Communication
- Microsoft Office
- EMR
- Medical Terminology
- Coding
- Critical Thinking
- Data Entry
- Documentation
- Time Management
+3 more
Qualifications
- High School Diploma or Equivalent
- CMA
- CNA
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.
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