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Nurse Manager - Concurrent Review - QM

Location: Long Beach
Posted on: June 6, 2024

Job Description:

Great opportunity for a RN, LVN or NP to lead and manage concurrent review of all admissions.Consult with providers, beneficiaries and family members.Consult with case management nurses in proper application of criteria. Authorize inpatient outpatient treatment. Evaluate Physician's treatment plans and develop care plans.We require a two year minimum of inpatient concurrent reviews,managing Medi-Cal, Commercial and Medicare patients.Active RN, LVN, NP, or LPN license in good standing and without restrictions in the State of California required.Experience in telephonic concurrent review process and 3 years experience in case management in a hospital, IPA or managed care environment.Knowledge of medical criteria for length of stay and/or experience with Healthcare Guidelines.Knowledge of CPT/ICD-9 coding.MS Word, MS Excel expertise required. We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Keywords: , Long Beach , Nurse Manager - Concurrent Review - QM, Healthcare , Long Beach, California

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