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Job description
Working Nurse in Los Angeles, CA is seeking a Utilization Management Nurse Specialist RN II. This full-time position focuses on facilitating, coordinating, and approving medically necessary referrals, with timely determination and clear communications to members and providers.
You will monitor admissions, perform reviews, gather medical records, and work with the UM Manager and Physician Advisor on case reviews across pre-service to retrospective claims.
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Worksite address
los angeles, CA, 90079, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.