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RN Utilization Management Specialist — Elevate Patient Care

Job in Lancaster, Los Angeles County, California, 93586, USA
Listing for: L.A. Care Health Plan
Full Time position
Listed on 2026-07-16
Job specializations:
  • Nursing
    Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 88854 - 142166 USD Yearly USD 88854.00 142166.00 YEAR
Job Description & How to Apply Below

L.A. Care Health Plan in Los Angeles, CA is seeking an Utilization Management Nurse Specialist RN II. This role coordinates and approves medically necessary referrals, ensures timely notification, and collaborates with the UM Manager and Physician Advisor on case reviews.

It involves active involvement in admissions, discharge planning, and provider communications. The ideal candidate has an RN license in California and 5+ years of varied RN clinical experience, with at least 2 years in

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