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Healthcare Nursing

Utilization Management Nurse: Lead Prior Authorization

Job in Rancho Cordova, Sacramento County, California, 95741, 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: 100000 - 125000 USD Yearly USD 100000.00 125000.00 YEAR
Job Description & How to Apply Below
A leading healthcare provider in Rancho Cordova seeks a Utilization Management Nurse to join their Federal Employee Program team. This role involves conducting prior authorizations and concurrent reviews while ensuring members receive timely services that are medically necessary. The ideal candidate must possess a Bachelor's degree, a current California RN License, and at least 5 years of relevant experience. The company values critical thinking and leadership, providing opportunities for personal and professional growth.
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