About this role
Utilization Management Nurse Specialist RN II at L.A. Care Health Plan. Location: Los Angeles, California, United States. Role: approving referrals, conducting reviews, notifying providers Requirements: Active California RN license, 5+ years varied acute hospital RN experience, 2+ years UM/CM experience, managed care knowledge preferred, strong computer and communication skills, NCQA/DHCS/CMS knowledge preferred, HIPAA compliance. Category: Healthcare Services - Nursing Seniority: Senior Level Tools: Outlook, Word, Excel, PowerPoint, L.A. Care Information System Certifications: rn, ccm Commitm