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© All Rights Reserved. ApplyBlast.com
Guidehealth
A Utilization Management Registered Nurse at Guidehealth performs clinical reviews to determine the medical necessity of healthcare services in compliance with federal, state, and URAC standards. The role involves collaborating with providers and medical directors to analyze medical records, document findings, and communicate determinations while integrating AI tools into daily workflows. This position also supports care coordination, quality management initiatives, and adherence to professional nursing standards.
Guidehealth is an AI-powered healthcare operating platform that combines clinical intelligence, conversational AI (RoseConnect™), and human Healthguides™ to close care gaps and make healthcare more affordable and accessible. The company serves health systems, payers, and employers by reducing avoidable utilization, improving quality metrics (STARS, HEDIS®), and supporting patients outside the exam room through proactive, empathy-driven engagement. Its platform unifies predictive intelligence, AI, and benefits enablement to lower the cost of healthcare administration while improving outcomes and patient experience.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
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
View leadership team, funding history,
and employee contacts for Guidehealth.
32% below the average for this role
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