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Impactful Utilization Review Nurse — Clinical & Reimbursement

Job in Los Angeles, Los Angeles County, California, 90079, USA
Listing for: Health Business Solutions LLC
Full Time position
Listed on 2026-07-17
Job specializations:
  • Nursing
    RN Nurse, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 90000 - 110000 USD Yearly USD 90000.00 110000.00 YEAR
Job Description & How to Apply Below

Health Business Solutions LLC is seeking a motivated Utilization Review Nurse to join our healthcare team. You will provide clinical guidance, facilitate utilization management, and support revenue cycle efficiency while combining clinical expertise with reimbursement knowledge.

Key duties include clinical assessments, care coordination with interdisciplinary teams, and collaboration with insurers on denials and high-risk cases. Requires RN licensure and CRN/CMM credentials as applicable.

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