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Healthcare Nursing Healthcare Administration

Utilization Management Nurse: Lead Prior Authorization

Job in Lodi, San Joaquin County, California, 95240, USA
Listing for: Blue Shield of CA
Full Time position
Listed on 2026-02-02
Job specializations:
  • Healthcare
    Healthcare Nursing, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A healthcare provider in California is seeking a Utilization Management Nurse to join their Federal Employee Program team. The role involves conducting prior authorization and medical reviews to ensure members receive the necessary care. Candidates should hold a Bachelor's degree in Nursing or a similar field and possess a valid California RN License. Experience in utilization management and strong computer skills are preferred.

This position offers an opportunity to contribute to lowering healthcare costs while being part of a dynamic team.
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