More jobs:
RN Utilization Management: Care Coordination & Reviews
Job in
Long Beach, Los Angeles County, California, 90899, USA
Listed on 2026-07-26
Listing for:
HJSRLLC
Full Time
position Listed on 2026-07-26
Job specializations:
-
Nursing
RN Nurse, Healthcare Nursing
Job Description & How to Apply Below
HJSRLLC in California seeks a Registered Nurse (RN) to join our Utilization Management team. You will perform concurrent reviews, prior authorizations, medical necessity reviews, discharge planning, and transitions of care, collaborating with physicians, hospitals, and care teams to ensure cost-effective, evidence-based care.
This role favors an RN with an acute care background and proven managed care and utilization management experience, including Inter Qual, MCG, CMS guidelines, and
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