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UM Review Nurse; RN): Shape Medical Necessity
Job in
Los Angeles, Los Angeles County, California, 90079, USA
Listed on 2026-02-03
Listing for:
The Regents of the University of California
Full Time
position Listed on 2026-02-03
Job specializations:
-
Nursing
Healthcare Nursing
Job Description & How to Apply Below
A leading healthcare organization in California seeks a UM Review Nurse responsible for reviewing clinical documentation related to prior authorization requests. The ideal candidate holds a BSN/MSN and has experience in utilization management, demonstrating strong analytical and communication skills. This role is key in ensuring compliance with clinical standards and enhancing healthcare delivery while working collaboratively within multidisciplinary teams.
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