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Healthcare Case Manager

Description

Ref ID: 00291-9501736596

Classification: Account Executive/Staffing Manager

Compensation: $28.84 to $38.46 per hour

A well-known hospital is looking for a Case Manager with a LVN license to join their team. The ideal candidate should have 2+ yrs experience doing purely utilization review using clinical guidelines to evaluate medical necessity and preferably coming from MSO, medical group, or a health plan background. The Case Manager should also have experience with Milliman and Interqual as well. In this position, you should be able to efficiently communicate with physicians, health plans, providers, PCPs, members as well as all other parties involved to collect the pertinent clinical information necessary for medical necessity review. You should also be able to review and process referrals according to department guidelines. The Case Manager should have great interpersonal skills and be an efficient problem-solver. Benefits include Medical, Dental and Vision Insurance. 401K, Sick Time Off, Bonus Pay and Tuition Reimbursement. If you are interested, please submit your resume to: [Click Here to Email Your Resumé]

Requirements

- 2+ years doing purely utilization review using clinical guidelines to evaluate medical necessity - Experience using Milliman - Experience using Interqual

Accountemps matches highly skilled professionals with accounting finance jobs at the best companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding finance or accounting job that is well matched to your professional skills – helping you to advance in your career. Our experience, combined with the resources of our worldwide network of offices, makes Accountemps a great resource for your career. We offer excellent opportunities to find temporary accounting and finance jobs for all experience levels. From accounting clerks and bookkeepers to accounts payable and staff accountants, we can provide you unparalleled access to exciting career opportunities. But don't take our word for it. Our company has appeared on Fortune® magazine's list of "World's Most Admired Companies" since 1998, and 9 out of 10 of our customers would recommend our service to a colleague.

Contact your local Accountemps office at 888-490-3195 or visit www.accountemps.com to apply for this job now or find out more about other job opportunities.

All applicants applying for U.S. job openings must be authorized to work in the United States. Robert Half will consider qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.

© 2019 Accountemps. An Equal Opportunity Employer M/F/Disability/Veterans

By clicking 'Apply Now' you are agreeing to Robert Half Terms of Use.

Job Snapshot

Location US-CA-Irvine
Employment Type Full-Time/Part-Time
Pay Type Hour
Pay Rate $28.84 - $38.46 /Hour
Store Type Accounting, Finance, Professional Services
Apply

Company Overview

Accountemps Healthcare

Accountemps is the world’s first and largest specialized temporary staffing company for accounting and finance professionals. We have a healthcare practice that provides job opportunities for highly skilled accounting and finance professionals with healthcare industry experience. Learn More

Contact Information

US-CA-Irvine
Recruiter
213-624-1442
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Snapshot
Accountemps Healthcare
Company:
US-CA-Irvine
Location:
Full-Time/Part-Time
Employment Type:
Hour
Pay Type:
$28.84 - $38.46 /Hour
Pay Rate:
Accounting, Finance, Professional Services
Store Type:

Description

Ref ID: 00291-9501736596

Classification: Account Executive/Staffing Manager

Compensation: $28.84 to $38.46 per hour

A well-known hospital is looking for a Case Manager with a LVN license to join their team. The ideal candidate should have 2+ yrs experience doing purely utilization review using clinical guidelines to evaluate medical necessity and preferably coming from MSO, medical group, or a health plan background. The Case Manager should also have experience with Milliman and Interqual as well. In this position, you should be able to efficiently communicate with physicians, health plans, providers, PCPs, members as well as all other parties involved to collect the pertinent clinical information necessary for medical necessity review. You should also be able to review and process referrals according to department guidelines. The Case Manager should have great interpersonal skills and be an efficient problem-solver. Benefits include Medical, Dental and Vision Insurance. 401K, Sick Time Off, Bonus Pay and Tuition Reimbursement. If you are interested, please submit your resume to: [Click Here to Email Your Resumé]

Requirements

- 2+ years doing purely utilization review using clinical guidelines to evaluate medical necessity - Experience using Milliman - Experience using Interqual

Accountemps matches highly skilled professionals with accounting finance jobs at the best companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding finance or accounting job that is well matched to your professional skills – helping you to advance in your career. Our experience, combined with the resources of our worldwide network of offices, makes Accountemps a great resource for your career. We offer excellent opportunities to find temporary accounting and finance jobs for all experience levels. From accounting clerks and bookkeepers to accounts payable and staff accountants, we can provide you unparalleled access to exciting career opportunities. But don't take our word for it. Our company has appeared on Fortune® magazine's list of "World's Most Admired Companies" since 1998, and 9 out of 10 of our customers would recommend our service to a colleague.

Contact your local Accountemps office at 888-490-3195 or visit www.accountemps.com to apply for this job now or find out more about other job opportunities.

All applicants applying for U.S. job openings must be authorized to work in the United States. Robert Half will consider qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.

© 2019 Accountemps. An Equal Opportunity Employer M/F/Disability/Veterans

By clicking 'Apply Now' you are agreeing to Robert Half Terms of Use.
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Healthcare Case Manager Apply now