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RN or LVN Care Review Clinician Job
Eingestellt von Yoh
Gesuchte Skills: Cms, Client
Projektbeschreibung
The Big Picture - Top Skills You Should Possess:
- RN or LVN License in State of CA
- Prior Authorization Experience
- Must have Utilization Review experience in a Managed Care Setting
What You'll Be Doing:
- Provide daily review and evaluation of members that require hospitalization
- Provide concurrent review and prior authorizations to Utilization Management Department
- Identify appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures
What You Need to Bring to the Table:
- Registered Nurse or Licensed Vocational Nurse Licensure in State of CA (Active and in Good Standing)
- Must have two to five (2 - 5) years of Prior Authorization in a Managed Care Setting
- Must have Experience with Inter-Qual and CMS guidelines
- Knowledge of applicable state, and federal regulations
- Excellent verbal and written communication skills
- Proficient in Microsoft Office: Word and Excel
OPPORTUNITY IS CALLING, APPLY NOW!
RECRUITER: Christine Mosessian
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.
J2W: HC
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Ref:
SFSF: HC
Projektdetails
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Einsatzort:
Long Beach, Vereinigte Staaten
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Projektbeginn:
asap
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Projektdauer:
Keine Angabe
- Vertragsart:
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Berufserfahrung:
Keine Angabe
Geforderte Qualifikationen
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Kategorie:
IT Entwicklung, Webentwicklung