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Clinical Services Auditor Clinical Services Auditor

Company: The Wherry Group
Location: Long Beach
Posted on: August 3, 2022

Job Description:

Job DescriptionJob Description: The position is mostly remote, but there will be an onsite requirement for candidates to report a few times a month to the Long Beach office. Please ensure candidates are local to Long Beach, CA. Candidates must have UM experience. Manager DOES NOT want to see resumes with only case management or quality management experience. strong candidate will have experience processing referrals which differs from candidates who have experience working at the hospital receiving referral request. The referrals will be mostly for Outpatient Professional Services. Potentially will be temp to hire and may transition to an onsite role once Molina's offices reopen This person will be conducting/monitoring audit activity to review Utilization Management (UM) decisions Must have an LVN or RN (CA State license) Must have at least two years of experience in Utilization Management (UM) One year of auditing/ clinical review experience. Schedule: Monday to Friday, 8:30am to 5:3pm PST Comments for Suppliers:

Keywords: The Wherry Group, Long Beach , Clinical Services Auditor Clinical Services Auditor, Other , Long Beach, California

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