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© All Rights Reserved. ApplyBlast.com
American Health Partners
The Utilization Review Nurse assesses the medical necessity and quality of healthcare services for plan members by conducting pre-service, concurrent, and retrospective utilization management reviews. This role provides clinical support to the Clinical Services Department and Medical Director to ensure members receive appropriate medical services in compliance with medical and regulatory guidelines. The position involves collaborating with providers, applying clinical review criteria, and ensuring adherence to accreditation and regulatory timeframes.
Partnering to improve healthcare access
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 American Health Partners.