Utilization Management Nurse, Senior

ecge

Company	ecge
Category	Healthcare
Location	El Dorado Hills, CA, United States
Remote	—
Employment	Not stated
Level	Senior
Salary	Not stated by the employer
Posted	6 Jul 2026
Last verified	10 Aug 2026
Source	Employer ATS (oracle)

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Description

The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while supporting clinical consistency, process improvement, quality, timeliness, and appropriate escalation of high-risk cases.