oraclecloudinfrastructure
The Utilization Review Nurse role focuses on medical necessity determinations and concurrent and retrospective utilization management reviews for pediatric patients. The position requires strong clinical skills, proficiency with medical record reviews, and knowledge of utilization management tools like InterQual and Milliman Care Guidelines. The nurse collaborates with healthcare teams to optimize resource utilization, ensure regulatory compliance, and support care coordination initiatives.
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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
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