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2 claims nurse jobs at 2 companies in Bloomington, CA

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Utilization Management Claims Review Nurse RN II
Los Angeles, California, United States
$89k-$142k/yr OnsiteFull Time
L.A. Care Health Plan
L.A. Care Health Plan: Public health plan serving Los Angeles County's low-income residents through Medi-Cal and other coverage.
5+ YOEAssociate's degree in nursing, active unrestricted California RN license, 5+ years clinical nursing, 3+ years Medi-Cal and Medicare managed care experience, claims review and clinical documentation experience.
InterQual, MCG, CPT, HCPC, ICD-10, Electronic Medical Record (EMR)
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1mo
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Utilization Review Nurse LVN
Ontario, California, United States
$72k-$100k/yr OnsiteFull Time
Prime Healthcare
Prime Healthcare: Private hospital system delivering community-focused healthcare services.
2+ YOEActive CA LVN license, 2+ years acute hospital case management, utilization management experience, knowledge of claims, coding and billing, high school diploma/GED, strong interpersonal skills.
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