***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred: * Managed care experience * Knowledge of medical management process * Knowledge of NCQA regulations Position / Specialty: Outpatient/Utilization Review Years of experience REQ: 3 years First-timers accepted: Yes Weekend REQ: No Certs REQ: BLS Is on-call REQ? No Will clinician float within scope to meet facility needs? No Locals accepted: Yes Pending License accepted: No RTO Restrictions: None Hospital Highlights Type of Facility: Outpatient Charting: Epic