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Utilization Management Nurse, Senior (Medicare Concurrent Review)

  • Rancho Cordova, CA, United States
  • Pay not stated
  • Posted 2 weeks ago

Key facts

Location
Rancho Cordova, CA, United States
Workplace
Not stated
Pay
Not stated
Contract
Not stated
Detected
8 Nov 2026
Posted
21 Oct 2026

About the role

The Utilization Management Concurrent Review team reviews the inpatient stays for our members and correctly applies guidelines for nationally recognized levels of care. The Utilization Management Concurrent Review Nurse will report to the Utilization Management Nurse Manager. In this role you will perform first level determination for authorization requests received for members using BSC evidence-based guidelines, policies, and nationally recognized criteria across specific lines of business suc

The full description is on Blue Shield of California’s careers site (opens in a new tab).