Utilization Review Nurse

Job Title: Nurse Chart Reviewer Location: West Hills/Canoga Park 91305 (This role is HYBRID not remote) Overview: The Retro Claims Reviewer is responsible for auditing and reviewing medical claims to ensure accuracy, regulatory compliance, and proper adjudication. This role is ideal for a Licensed Vocational Nurse (LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare claims processes. Key Responsibilities: – Audit denie…