Care Review Clinician III - CCS Experience
Location: Long Beach
Posted on: July 18, 2021
Prominent managed care organization is seeking a Care Review
Clinician III to work in Long Beach, CA.
This is a three (3) to six (6) month contract position with the
possibility of extension/temp-to-hire.
Maximum pay is $48.00/hour.
Works with the Utilization Management team primarily responsible
for inpatient medical necessity/utilization review and other
utilization management activities aimed at providing plan members
with the right care at the right place at the right time.
Specifically, this role will be responsible for determining if a
patient has a California Childrens' Services eligible condition,
and creating application if eligible.
Minimum 5-7 years of clinical practice. Preferably hospital
nursing, utilization management, and/or case management.
Valid, unrestricted CA RN or LVN license in good standing
California Children Services- experience preferred
UM experience- at least 2 years
Prior Auth experience
Concurrent Review experience We are an equal employment opportunity
employer and will consider all qualified candidates without regard
to disability or protected veteran status.
Keywords: , Long Beach , Care Review Clinician III - CCS Experience, Healthcare , Long Beach, California
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