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Utilization Review Nurse - Clinical Decisions & QA

Job in Los Angeles, Los Angeles County, California, 90079, USA
Listing for: TurningPoint Healthcare Solutions
Full Time position
Listed on 2026-07-17
Job specializations:
  • Nursing
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 65000 - 80000 USD Yearly USD 65000.00 80000.00 YEAR
Job Description & How to Apply Below

Turning Point Healthcare Solutions in Lake Mary, FL is seeking an experienced Clinical Review Nurse to perform first level clinical reviews for procedures requiring medical necessity authorization. This role requires RN/LPN licensure, strong nursing knowledge, and excellent communication skills.

Ideal candidates have utilization management exposure, attention to detail, and the ability to work independently in a fast-paced environment while collaborating with the care team.

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