UM LVN: Clinical Reviewer & Care Coordination Expert
Listed on 2026-10-07
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Nursing
Healthcare Nursing
Advanced Medical Management, Inc. is seeking an LVN to support Utilization Management activities in California.
The role involves clinical review for prior authorizations, concurrent and retrospective reviews, and care coordination within EZCAP and related systems. You will apply evidence-based criteria and health plan guidelines to ensure medical necessity, timeliness, and cost-effectiveness while maintaining compliance with CMS, DMHC, NCQA, and delegated health plan requirements.
This posting is for the UM LVN:
Clinical Reviewer & Care Coordination Expert role at Advanced Medical Management, Inc., based in Long Beach, CA, United States.
This is a great opportunity to take on the UM LVN:
Clinical Reviewer & Care Coordination Expert role at Advanced Medical Management, Inc.
As a UM LVN:
Clinical Reviewer & Care Coordination Expert, you will play an important part at Advanced Medical Management, Inc. in Long Beach, CA, United States.
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