LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.
Title: Utilization Review Nurse Coordinator Location: Remote (Based in Los Angeles, CA) ✅ Requirements: BSN or MSN degree (required). Valid California RN license (required). 2+ years of UM experience (Medicare Advantage preferred). Strong clinical assessment and EHR proficiency. Shift: Day (5x8-Hour, 8:00 AM – 5:00 PM) Duration: 2-month contract with probable extension 🚀 Responsibilities: Ensure high-quality, cost-effective care for members. Conduct utilization management (UM) in line with Medicare Advantage guidelines. Identify and report Potential Quality Issues (PQI) and support Provider Dispute Resolution (PDR). #HCRK
Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
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