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Utilization Review Nurse

UnitedHealth Group

UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based guidelines.

In addition to clinical duties, you will document decisions and collaborate with Medical Directors for complex cases. The position may offer remote work options and requires working a Monday–Friday schedule with weekend rotation.

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Vacancy posted 1 day ago
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