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RN II: Utilization Management & Clinical Quality Audits

Job in Boise, Ada County, Idaho, 83701, USA
Listing for: L.A. Care Health Plan
Full Time position
Listed on 2026-11-01
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 89000 - 142000 USD Yearly USD 89000.00 142000.00 YEAR
Job Description & How to Apply Below

L.A. Care Health Plan is seeking an experienced Utilization Management Clinical Quality Nurse Reviewer RN II to lead audits, ensure regulatory compliance, and support policy development. The role emphasizes data analysis, reporting, and collaboration with Compliance and UM leadership.

The RN must have strong documentation skills, CA RN license, and extensive experience with Medi-Cal/Medicare in managed care. This on-site role offers growth opportunities within the UM department.

This posting is for the RN II:
Utilization Management & Clinical Quality Audits role at L.A. Care Health Plan, based in United States.

This is a Full Time role.

The position is based in United States.

This opportunity is part of our work in Legal, Bio & Pharmacology & Health.

The advertised compensation is 89..

We aim to respond to suitable candidates as soon as possible.

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