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Care Review Clinician

Location : Long Beach, CA
Job Type : Contract to Direct
Reference Code : 9263
Hours : Full Time
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Healthcare - RNs & Nurse Management

Job Description :

We have an awesome client in the Long Beach, CA  who is in need of RNs/LPNs/LVNs to fulfill their Care review Clinician needs!


 


Care Review Clinician Job Responsibilities:


Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.


 


 


Required Qualifications :

Case Manager Job Requirements:



  • Completion of an accredited Registered Nursing program. (a combination of experience and education will be considered in lieu of Registered Nursing/LPN/LVN degree).

  • Required Experience: Minimum 0-2 years of clinical practice.

  • Preferably hospital nursing, utilization management, and/or case management.

  • Required Li censure/Certification: Active, unrestricted State Nursing (RN/LPN/LVN) license in good standing

  • 1-2 years prior authorization preferred


For immediate consideration please email sroper@mednationalstaffing.com


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