UM Nurse Reviewer
Astiva Health, Inc. is hiring for UM Nurse Reviewer in Orange, CA. Mid level. First seen August 6, 2026; open as of November 8, 2026. Jobs taken straight from company career pages — no aggregator in between.
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- Company
- Astiva Health, Inc.
- Where
- Orange, CA
- Level
- Mid
- First seen
- August 6, 2026
- Listed via
- Paylocity
What the posting says
The Utilization Management Authorization Review Nurse is responsible for managing inpatient & outpatient utilization by conducting thorough reviews of clinical documentation and applying clinical knowledge in accordance with relevant Care Guidelines and CMS regulations. This role ensures that all authorizations, deferrals, and denials are processed efficiently, accurately, and in compliance with company policies and regulatory standards. The nurse also issues timely and accurate denial, deferral, or authorization letters, manages clinical & concurrent review processes, and supports…
Read more and apply on Astiva Health, Inc.'s site
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