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Impresiv Health
Impresiv Health

60 Impresiv Health Jobs Hiring Near You

Impresiv Health

Medical Management Assistant

Long Beach, CA · Remote

$18.75 - $24/hr

About Impresiv Health: Impresiv Health is a healthcare consulting partner specializing in clinical and operations management, enterprise project management, professional services, and software ...

Impresiv Health

Medical Management Assistant

Long Beach, CA · Remote

$18.75 - $24/hr

About Impresiv Health: Impresiv Health is a healthcare consulting partner specializing in clinical and operations management, enterprise project management, professional services, and software ...

Impresiv Health

People Operations Manager

Longwood, FL · On-site

Impresiv Health has provided real results and thus has seen real growth experiencing a 203% growth in 2021 within a three-year window. We're a collaborative company that puts an emphasis on culture ...

Impresiv Health

Medical Management Assistant

Long Beach, CA · Remote

$18.75 - $24/hr

About Impresiv Health: Impresiv Health is a healthcare consulting partner specializing in clinical and operations management, enterprise project management, professional services, and software ...

Impresiv Health

QNXT Program Principal

Long Beach, CA · On-site

About Impresiv Health: Impresiv Health is a healthcare consulting partner specializing in clinical and operations management, enterprise project management, professional services, and software ...

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What is it like to work at Impresiv Health?

Impressiv Health appears to be a collaborative and innovative company that prioritizes its mission to improve healthcare outcomes through data-driven insights and technology. The company's team structure is likely composed of cross-functional teams working together to develop and implement solutions, with a focus on a dynamic and fast-paced work environment. Working at Impressiv Health may appeal to candidates who are passionate about healthcare technology and data analysis, as the company offers opportunities to contribute to meaningful projects and make a positive impact on patient care.

What makes Impresiv Health an attractive place to work?

Impressive Health is a leading healthcare technology company that aims to revolutionize the way healthcare services are delivered and managed. The company fosters a dynamic and collaborative work environment that encourages innovation, creativity, and open communication among team members, with a focus on delivering high-quality solutions and services. By joining Impressive Health, professionals can contribute to shaping the future of healthcare technology, develop their skills and expertise, and be part of a team that is dedicated to making a positive impact on people's lives.

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What are the most popular job types at Impresiv Health?

Infographic showing various job openings at Impresiv Health in the United States as of August 2026, with employment types broken down into 28% Full Time, 28% Temporary, and 44% Contract. Highlights an 39% Physical, 6% Hybrid, and 55% Remote job distribution.

Utilization Management - RN

Impresiv Health

Long Beach, CA • On-site

Contractor

Re-posted 5 days ago

Job description

Description:
Our client is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews, discharge planning, and transitions of care while collaborating with physicians, hospitals, and interdisciplinary teams to ensure members receive appropriate, cost-effective, and evidence-based care. This position is ideal for an RN with strong acute care experience and a background in managed care, utilization management, or case management.
What You Will Do:
  • Perform concurrent, prior authorization, and retrospective utilization reviews.
  • Evaluate medical necessity using InterQual, MCG, CMS, LCD/NCD, and health plan guidelines.
  • Coordinate discharge planning and transitions of care with providers and healthcare facilities.
  • Collaborate with physicians, hospital staff, specialists, and internal care management teams.
  • Request and review additional clinical documentation when necessary.
  • Escalate complex medical necessity cases to the Medical Director.
  • Educate providers on utilization management policies and review criteria.
  • Document all reviews and clinical decisions accurately within medical management systems.
  • Identify care gaps and support quality improvement initiatives.
  • Serve as a clinical resource for internal teams.
You Will Be Successful If:
  • You have strong clinical judgment and are confident making medical necessity determinations.
  • You can effectively communicate with physicians, hospitals, and multidisciplinary teams.
  • You are highly organized and able to manage multiple cases simultaneously.
  • You thrive in a fast-paced managed care environment.
  • You are comfortable navigating challenging conversations regarding levels of care.
  • You are detail-oriented and committed to delivering high-quality patient outcomes.
What You Will Bring:
  • Active Registered Nurse (RN) license with the ability to obtain licensure in multiple states.
  • Graduate of an accredited School of Nursing.
  • Minimum 4 years of clinical nursing experience.
  • Minimum 2 years of managed care or HMO experience.
  • Experience performing medical necessity reviews using evidence-based clinical guidelines.
  • Strong knowledge of: Concurrent Review, Utilization Management, Discharge Planning, Transitions of Care
  • Experience applying: InterQual, MCG, CMS Guidelines
  • Experience working with medical management software and Microsoft Office.
  • Excellent communication, critical thinking, and organizational skills.
Preferred Experience
  • Bachelor of Science in Nursing (BSN).
  • Emergency Department (ER) experience.
  • Intensive Care Unit (ICU) experience.
  • Case Management experience.
  • Utilization Management experience within a health plan or managed care organization.
  • Experience working directly with hospitals, physicians, and provider networks.
About Impresiv Health:
Impresiv Health is a healthcare consulting partner specializing in clinical and operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions that solve their most complex business challenges.
Our approach has always been simple. We think and act like the customers who need us and deliver tangible results that larger organizations often cannot provide. We focus on creating immediate value through responsive service, experienced consultants, and a commitment to our clients' success.
That's Impresiv!
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About Impresiv Health

Sourced by ZipRecruiter

Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges. Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do - provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.

Industry

Business management consulting

Company size

11 - 50 Employees

Headquarters location

Miami, FL, US

Year founded

2014

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