What are the responsibilities and job description for the Licensed Practical Nurse - Case Manager position at TotalMed Staffing?
Licensed Practical Nurse-Case Manager
Job ID #1779428
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About this Role
Job details
31.96 / hour
Orange, California
Profession : Licensed Practical Nurse
Facility Type : ???
Specialty : Case Manager
Division : MedFi
Start Date : 03 / 31 / 2025
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Responsibilities
will be responsible for reviewing and processing requests for authorization and notification of medical services from health professionals, clinical facilities
The incumbent will be responsible for prior authorization and referral related processes, including on-line responsibilities and select off-line tasks.
The incumbent will utilize medical criteria, policies and procedures to authorize referral requests from medical professionals, clinical facilities and ancillary providers.
Required Qualifications
- 3 years of nursing experience required, 1 year of which must be as a Clinical Nurse Reviewer
- 1 year of utilization management / prior authorization review experience required.
- LVN / LPN License for CA
Active Certified Case Manager (CCM) certification preferred
Managed care experience preferred
Salary : $32
