Adventist Health

RN, Care Manager, Utilization Management (Remote, Roseville CA)

Adventist Health

United States Remote Other 23h ago via Himalayas
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
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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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