Utilization Management RN II Claims Review Expert
L.A. Care Health Plan
L.A. Care Health Plan in Los Angeles is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a minimum of 5 years in clinical nursing, with experience in Medi-Cal and Medicare managed care. The role involves rigorous evaluation of claims submission to ensure accuracy and compliance with established clinical policies. L.A. Care offers benefits including Paid Time Off, medical coverage, and tuition reimbursement. #J-18808-Ljbffr
Vacancy posted 10 hours ago
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Los Angeles, CA10 days ago
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