Senior Inpatient Utilization Management Nurse

Blue Shield of California is seeking an Utilization Management Concurrent Review Nurse to review inpatient stays for our members and apply evidence-based guidelines to determine medical necessity. You will report to the Utilization Management Nurse Manager and perform first level determinations for authorization requests across Medicare, Medical, or Commercial plans.

This role supports a hybrid virtual work model with occasional in-office meetings; the ideal candidate holds an active CA RN

This is a genuine position to take on the Senior Inpatient Utilization Management Nurse role at Blue Shield of CA.

If your experience matches this role, we encourage you to apply.

All applications are reviewed carefully by our team.

The position is based in Long Beach, CA, United States.

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