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Utilization Review Nurse - Medicare Advantage; RN

Job in Los Angeles, Los Angeles County, California, 90079, USA
Listing for: Ampcus, Inc
Full Time position
Listed on 2026-01-24
Job specializations:
  • Nursing
    Healthcare Nursing
Job Description & How to Apply Below
Position: Utilization Review Nurse - Medicare Advantage (RN)
A global consulting firm is seeking a Utilization Review Nurse in Los Angeles, CA. Responsibilities include ensuring quality care for New Century Health Plan members and conducting utilization management activities. Candidates should have a BSN or MSN, a valid California RN license, and experience in Medicare Advantage. Excellent communication and clinical assessment skills are essential. The role offers day shifts (08:00 - 17:00) in a supportive work environment.
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