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Healthcare Nursing

Utilization Management Nurse: Lead Prior Authorization

Job in Long Beach, Los Angeles County, California, 90899, USA
Listing for: Blue Shield of CA
Full Time position
Listed on 2026-02-02
Job specializations:
  • Healthcare
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 125000 - 150000 USD Yearly USD 125000.00 150000.00 YEAR
Job Description & How to Apply Below
A healthcare provider is seeking a FEP Utilization Management Nurse based in Long Beach, CA. This role involves conducting medical reviews for prior authorization and concurrent patients while ensuring the right level of care at the right time. Candidates should have strong leadership skills, a bachelor's degree, a current California RN license, and at least five years of relevant experience.

This position is essential in enhancing the quality of care and controlling costs in healthcare coverage.
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