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Healthcare Management

Lead Utilization Management Nurse Consultant

Job in Lodi, San Joaquin County, California, 95240, USA
Listing for: Blue Shield of CA
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Management
Job Description & How to Apply Below
A leading healthcare provider in California seeks a FEP Utilization Management Nurse Consultant (Lead). In this role, you will oversee prior authorization and medical reviews, ensuring members receive necessary healthcare services efficiently. The ideal candidate will have a bachelor's degree, an active California RN license, and 7+ years of relevant experience. Strong analytical and problem-solving skills are essential, along with excellent clinical documentation abilities.

This role offers significant impact in managing healthcare costs.
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