Senior Utilization Management Nurse - Inpatient Psychiatry
Blue Shield of California
Blue Shield of California is seeking a Senior Utilization Management Nurse in Los Angeles. This role involves reviewing medical documents for compliance with clinical criteria and performing retrospective utilization reviews for inpatient psych cases. Ideal candidates will have a Bachelor's degree, California RN license, and 5 years of relevant experience, including psych claims review preferred. You will communicate determinations, review billing practices, and ensure compliance with regulatory standards. Strong analytical skills and attention to detail are essential. #J-18808-Ljbffr Blue Shield of California
Vacancy posted 1 day ago
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