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Remote Utilization Management Nurse: Care & Costs

Remote / Online - Candidates ideally in
Portland, Multnomah County, Oregon, 97223, USA
Listing for: Cambia Health Solutions
Remote/Work from Home position
Listed on 2026-10-20
Job specializations:
  • Nursing
    Nurse Practitioner, RN Nurse, Clinical Nurse Specialist, Healthcare Nursing
Job Description & How to Apply Below
Position: Remote Utilization Management Nurse: Improve Care & Costs

Cambia Health Solutions in Medford, OR is seeking an experienced Utilization Management Nurse to perform prospective, concurrent, and retrospective reviews ensuring medical necessity and adherence to policy. You will apply evidence-based criteria and collaborate with physician advisors to optimize member care and appropriate payments.

The role requires an Associate or Bachelor's in Nursing, an RN license, and at least 3 years in case management or utilization management, with licensure in states

For the Remote Utilization Management Nurse:
Improve Care & Costs position at Cambia Health Solutions, we are reviewing applications now.

Join Cambia Health Solutions and contribute to our ongoing work.

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Remote Utilization Management Nurse:
Improve Care & Costs role at Cambia Health Solutions, based in Medford, OR, United States.

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