Case Manager LVN (Prior Auth)
The Judge Group Inc.

Job Info

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Location: Orange, CA
Salary: $30.00 USD Hourly - $38.00 USD Hourly
Description: The Judge Group is currently seeking a Case Manager LVN (Prior Auth) for a fantastic healthcare company in Orange, CA!

This job will have the following responsibilities:

• The Medical Case Manager (LVN) will be responsible for reviewing and processing requests for authorization and notification of medical services from health professionals, clinical facilities and ancillary providers.
• The incumbent will be responsible for prior authorization and referral related processes, which includes on-line responsibilities as well as select off-line tasks.
• The incumbent will utilize medical criteria, policies and procedures to authorize referral requests from medical professionals, clinical facilities and ancillary providers.
• The incumbent will directly interact with provider callers and serve as a resource for their needs.
  

Qualifications & Requirements:

• High school diploma or equivalent required. Current, unrestricted Licensed Vocational Nurse (LVN) license to practice in the state of California required.
• 2+ years of nursing experience required;
• 1 year of which must be as a Clinical Nurse Reviewer.
• 1 year of utilization management/prior authorization review experience required.
• Have access to means of transportation for work away from the primary office approximately 5% of the time.
• An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
  

If you or someone you might know would be interested to apply, please send your most updated resume to me at jmaybrier@judge.com

Thank You,

Jacob

Contact: jmaybrier@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

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