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Utilization Management RN - Clinical Review Leader

Job in Los Angeles, Los Angeles County, California, 90079, USA
Listing for: Your IT Recruiter
Full Time position
Listed on 2026-02-03
Job specializations:
  • Nursing
    Healthcare Nursing, Clinical Nurse Specialist, RN Nurse
Salary/Wage Range or Industry Benchmark: 60000 USD Yearly USD 60000.00 YEAR
Job Description & How to Apply Below
A healthcare staffing company is looking for a Utilization Management Nurse to conduct clinical reviews and assess the medical necessity of healthcare services. The role requires an active RN license and a minimum of three years' experience in utilization management within a health insurance company. Responsibilities include reviewing various services using standardized criteria and ensuring high-quality care. Preferred qualifications include a Bachelor's Degree in Nursing and experience with UM platforms.

This position is located in California.
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