Utilization Review Nurse III

Kaiser Permanente is seeking a Utilization Review Nurse III to lead complex utilization management activities within our technology-driven care environment. In this role, you will review medical records for medical necessity, level of care, and appropriateness of services, using evidence-based criteria and payer guidelines. You will collaborate with physicians, care managers, and IT teams to optimize workflows, reduce denials, and support value-based care. You will mentor junior nurses, contrib…