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Remote Utilization Management Nurse - LVN/LPN

NeueHealth

NeueHealth is hiring a Utilization Management Nurse (LVN/LPN) based in California for a remote, full-time role. The PA Nurse reviews prior authorizations, verifies coverage, and ensures medical necessity under state and plan policies.

You will collaborate with Medical Directors, providers, and plans to resolve denials and improve processes. The position requires 2–3 years of clinical nursing experience, with 1 year in utilization review or case management, and an active CA license.

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Vacancy posted 21 hours ago
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