Utilization Review Nurse Job at Working Nurse, Los Angeles, CA

  • Working Nurse
  • Los Angeles, CA

Job Description

Working Nurse in Los Angeles, CA is seeking a Utilization Management Nurse Specialist RN II. This full-time position focuses on facilitating, coordinating, and approving medically necessary referrals, with timely determination and clear communications to members and providers. You will monitor admissions, perform reviews, gather medical records, and work with the UM Manager and Physician Advisor on case reviews across pre-service to retrospective claims. #J-18808-Ljbffr

Job Tags

Full time

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