California Licensed Utilization Management RN

Company: VirtualVocations
Location: Vista
Posted on: May 16, 2025

Job Description:

A company is looking for a Utilization Management RN.
Key Responsibilities

Direct oversight of day-to-day operations within the designated UM team
Assist the team in reviewing prior-authorization requests for medical necessity and appropriateness
Collaborate with providers and clinical staff to resolve utilization management issues

Required Qualifications

Minimum of three (3) years of relevant clinical nursing experience
Strong preference for prior PACE experience
Two (2) years of supervisory experience with aptitude to mentor team members

Keywords: VirtualVocations, Riverside , California Licensed Utilization Management RN, Executive , Vista, California

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