Utilization Management RN
Guidehouse
About this role
A Clinical Appeals Nurse at Guidehouse supports utilization management and clinical appeals by applying nursing expertise to ensure reviews align with payer and regulatory standards. The role involves analyzing clinical records and coordinating with multidisciplinary teams to support appropriate care decisions and discharge planning.
Skills
Qualifications
About Guidehouse
guidehouse.comGuidehouse is a leading advisory firm that specializes in integrating commercial and public sector solutions to tackle complex challenges faced by clients. As a unique scaled advisory organization, it leverages insights from both government and commercial perspectives within its various industry segments. Guidehouse provides a range of technology and managed services, focusing on key sectors such as healthcare, financial services, defense, and infrastructure. The firm is recognized for its innovative approach to problem-solving, which combines strategic expertise with practical implementation.
Recent company news
Managed Services Trends Shaping Service Delivery
Oct 25, 2025
Mission & Strategy Services
Jun 23, 2025
Financial Management AI Solution Powered by Databricks
1 month ago
Guidehouse Appoints Ron White as Chief Information Officer
Oct 30, 2025
Vinay Singh to Lead Managed Services &Technology – India
Aug 27, 2025
About Guidehouse
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 Guidehouse.
Salary
$81k – $135k
per year
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