RN/LVN (Utilization Management Nurse)

Fresno, CA, United States of America

A rapidly expanding healthcare management organization is seeking an experienced RN or LVN with strong background in utilization management, authorizations, and hospital denial reviews. This role supports insurance-side clinical operations and requires deep familiarity with California insurance regulations, utilization management standards, and HMO/Medicare Advantage processes. The ideal candidate has 3–5 years of experience in UM or case management, understands authorization workflows, and is comfortable overseeing departmental processes. 

Responsibilities:

  • Lead and support multiple operational and UM/QM projects from planning through execution.
  • Oversee prior authorizations, referrals, denials, CAP responses, and pending authorizations.
  • Ensure compliance with all local, state, and federal healthcare regulations and HIPAA.
  • Monitor provider and patient satisfaction surveys; report quality concerns.
  • Supervise, train, coach, and audit Prior Authorization Coordinators and Nursing staff.
  • Act as liaison between coordinators, nurses, providers, internal departments, and leadership.
  • Review escalated cases, resolve complex authorization and denial issues.
  • Audit referral documentation weekly for accuracy and compliance.
  • Maintain detailed project plans, tracking tools, and documentation.
  • Ensure productivity, turnaround times, and quality benchmarks are met.
  • Assist with staffing coverage and shifting operational priorities as needed.
  • Provide operational and clinical support to leadership for daily workflow needs.
  • Other duties as assigned.

Requirements:

  • Active RN or LVN license required.
  • 5+ years experience in healthcare referral management, utilization management, or prior authorization.
  • Strong working knowledge of Medicare, Commercial, and Medi-Cal authorization processes.
  • Experience with denials, appeals, and regulatory compliance.
  • Experience working across multiple EMR and authorization systems.
  • Proven leadership, auditing, and staff coordination abilities.

Key Skills:

  • Strong clinical judgment and analytical decision-making.
  • Excellent verbal and written communication skills.
  • Advanced problem-solving and negotiation abilities.
  • High attention to detail and documentation accuracy.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Strong customer service and provider-relationship management skills.
  • Proficiency with Microsoft Office and healthcare software systems.
  • Positive, team-oriented leadership style.

LVN: 70K-90K ; RN: 100K-150K.

RN/LVN (Utilization Management Nurse)

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RN/LVN (Utilization Management Nurse)

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