Blue Shield of CA is seeking an experienced nursing leader for its Utilization Management team in California. The role focuses on complex utilization reviews, medical necessity assessment, coding accuracy, discharge planning, and compliance, with an emphasis on clinical consistency and process improvement.
Hybrid virtual work is offered; you may work remotely but will come to the office as needed. Requires RN license, ADN required, BSN preferred, and at least five years in managed care or
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