or apply directly on NeueHealth's site. We never take the application ourselves.
Is this posting real?
- This role has been open
- 22 days NeueHealth's roles stay open a median of 28 days
- Reposted
- No
- Salary listed
- Yes 42% of NeueHealth's roles list one
- Ghost-job risk at NeueHealth
- moderate 3 stale, 0 reposted of 12 open
- Hiring momentum
- 19 roles opened in the last 90 days ↑ up vs. the prior 90 days
- Last confirmed on the employer's board
- 2026-09-17
Measured from postings appearing on and disappearing from NeueHealth's own greenhouse board since 2026-08-03. Full hiring picture for NeueHealth.
About this role
The Utilization Management Nurse, LVN/LPN at NeueHealth is responsible for conducting real-time clinical reviews to assess the medical necessity of healthcare services for members under a managed care health plan. This role involves collaborating with healthcare providers, processing authorization requests, and ensuring compliance with health plan policies. The nurse will also work closely with the Medical Director on complex cases and participate in care coordination and discharge planning.
- benefits
- 3/5
- freshness
- 4/5
- career value
- 3/5
- role clarity
- 4/5
- pay transparency
- 5/5
Scored from the posting itself — how clearly the role is described, how much it says about pay and benefits, and how recently it was listed. Not a judgement of NeueHealth as an employer.
What you need
- Active, unrestricted California nursing license as a Registered Nurse (RN) or Licensed Vocational/Practical Nurse (LVN/LPN)
- 2-3 years of clinical nursing experience
- At least 1 year in utilization review, case management, or a related field
- Strong knowledge of clinical guidelines (e.g., InterQual, MCG) and medical necessity criteria
- Excellent communication and interpersonal skills
- Strong analytical skills and attention to detail
Nice to have
- BSN preferred
- Experience in a managed care setting with medical necessity reviews
- Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), or Accredited Case Manager (ACM) preferred
- Additional clinical nursing or case management certifications are a plus
What you get
- Health benefits
- Life and disability benefits
- 401(k) savings plan with match
- Paid Time Off
- Paid holidays
Worth weighing
- Remote work may be considered, but corporate office is preferred
- No specific mention of ongoing training or professional development opportunities
- Performance metrics focus heavily on compliance and efficiency, which may indicate a high-pressure environment
Summarised from NeueHealth's posting. Read the full original.
Listed by NeueHealth on their greenhouse job board, last confirmed open on 2026-09-17. PitchMeAI is not the employer.
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