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WelbeHealth

PACE-based elder care provider

Utilization Management RN

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeCalifornia, USAIn-person

About the Job

Requirements

  • A minimum of three years of relevant clinical nursing experience is required.
  • Two years of supervisory experience, with demonstrated aptitude to mentor and develop team members, is required.

Responsibilities

  • Provide direct oversight of day-to-day operations within the designated utilization management team.
  • Assist the team in reviewing prior-authorization requests for medical necessity and appropriateness.
  • Identify, develop, and provide orientation and competency development for staff processing or reviewing authorizations.
  • Collaborate with internal and external providers, clinical staff, and others to resolve utilization management issues in a timely manner.

Desired Qualifications

  • Prior experience in Programs of All-Inclusive Care for the Elderly (PACE) is strongly preferred.

About the Company

WelbeHealth

PACE-based elder care provider

WelbeHealth provides comprehensive, coordinated care for older adults using the Program of All-Inclusive Care for the Elderly (PACE). It integrates medical, social, and long-term services to help eligible seniors stay in their homes instead of nursing facilities. Care is delivered through individualized plans developed with patients and families, and includes medical care, physical therapy, social activities, and transportation. Funding comes from Medicare and Medicaid, with additional private payments for certain services. The company differentiates itself by applying the PACE model to deliver all-inclusive, home- and community-based care with a team-led, patient-centered approach designed to maintain independence and improve quality of life. Its goal is to keep seniors healthy, independent, and in their homes for as long as possible through personalized, coordinated care.

Company size
1,001-5,000
Company stage
Series C
Total funding
$61.2M
Headquarters
Menlo Park, CA
Founded
2015

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