RN, Care Manager, Utilization Management (Remote, Roseville CA)
Adventist Health
rn-case-manager
remote-nurse-case-manager
healthcare-utilization-manager
utilization-management-nurse
registered-nurse-case-manager
healthcare-utilization-management-specialist
nursing
utilization-management
healthcare
case-management
insurance
Job details
- Company
- Adventist Health
- Location
- United States
- Remote
- Yes
- Field
- Other
- Source
- via Himalayas
Posted
April 21, 2026
Is the job expired?
About this role
Plays a critical role in ensuring that patients receive high-quality care while efficiently utilizing medical resources, reviewing patient medical records and collaborating with healthcare providers and insurance companies to ensure a seamless care experience.
Requirements
- Associate's Degree in nursing or equivalent combination of education/related experience
- Five years' acute hospital experience required with preferred experience in critical care areas
- Two years' utilization review experience using the Optum/Inter Qual product within the last 12 months
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Retirement Plan
- Paid Time Off
- Life insurance
- Short-term disability insurance
Originally posted on Himalayas
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