Utilization Management Nurse & Care Mentor
Career Advocates
Career Advocates in Los Angeles seeks an experienced Clinical Reviewer to conduct complex reviews and coordinate care, ensuring medical necessity and benefit compliance. The role leverages advanced clinical judgment and collaboration with internal and external teams to deliver timely, appropriate care. Successful candidates will hold an accredited nursing degree (ASN/ADN/BSN/MSN) with knowledge of medical necessity criteria and regulatory guidelines, plus 2+ years in healthcare or managed care. #J-18808-Ljbffr Career Advocates
Vacancy posted 3 days ago
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