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Senior Clinical Quality Nurse Reviewer – Utilization Mgmt

Job in Twin Falls, Twin Falls County, Idaho, 83301, USA
Listing for: L.A. Care
Full Time position
Listed on 2026-10-30
Job specializations:
  • Nursing
    RN Nurse, Clinical Nurse Specialist, Nursing Home
Salary/Wage Range or Industry Benchmark: 89000 - 142000 USD Yearly USD 89000.00 142000.00 YEAR
Job Description & How to Apply Below

L.A. Care Health Plan is seeking an Utilization Management Clinical Quality Nurse Reviewer RN II in Idaho. The role audits UM documentation, ensures regulatory compliance, and supports policy development within the Utilization Management team.

The position requires extensive nursing experience, strong analytical skills, and ability to lead improvement initiatives across regulatory audits and performance metrics.

Our organisation is growing, and we are hiring a Senior Clinical Quality Nurse Reviewer – Utilization Mgmt in , United States.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the Senior Clinical Quality Nurse Reviewer – Utilization Mgmt role in the description above.

We appreciate your interest in this position.

Join L.A. Care and contribute to our ongoing work.

Position Requirements
10+ Years work experience
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