Clinical Utilization Specialist

3 weeks ago


Los Angeles, California, United States L.A. Care Health Plan Full time
Job Summary

In this challenging role, you will play a crucial part in ensuring our members receive the necessary healthcare services. As a Utilization Management Nurse Specialist RN II, you will facilitate and coordinate medically necessary referrals, ensuring timely and accurate determinations. You will also generate approval, modification, and denial communications to stakeholders.

This position requires strong communication and problem-solving skills, as well as the ability to work effectively in a fast-paced environment. If you are a skilled nurse with experience in utilization management or case management, we encourage you to apply.

  • Estimated Salary Range: $88,854 - $142,166 per year
  • Location: Los Angeles, CA
  • Requisition ID: 11812


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