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Job description
L.A. Care Health Plan in California is seeking an Utilization Management Nurse Specialist RN II to facilitate referrals, ensure timely determinations, and coordinate discharge planning. You will work with providers, members, and the UM team on pre-service, concurrent, post-service, and retrospective reviews.
Required: Associate's Degree in Nursing, 5+ years RN clinical experience, 2+ years UM/CM in hospital or HMO settings; California RN license. Bachelor's degree preferred.
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Worksite address
california, MO, 65018, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.