Account Executive/Staffing ManagerCompensation:
$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]
- 2+ years doing purely utilization review using clinical guidelines to evaluate medical necessity - Experience using Milliman - Experience using Interqual
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$28.84 - $38.46 /Hour
Accounting, Finance, Professional Services