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Company Overview:
Sunshine Enterprise is an industry-leading Staffing and Recruitment Firm. Our clients are fortune 500 companies, high growth start-up companies, government, and private equity firms, and lead professional services firms. As a leading force in the business landscape, we take pride in bringing together great people and great organizations by fostering a work environment that values creativity, diversity, and growth. If you're ready to embark on a rewarding career journey with a company that prioritizes its employees, explore our current job opportunities below.
Job Summary:
The Medical Case Manager (LVN) will be responsible for reviewing and processing requests for authorization and notification of medical services from health professionals, clinical facilities, and ancillary providers. The incumbent will be responsible for prior authorization and referral related processes, which includes online responsibilities as well as selecting off-line tasks. The incumbent will utilize medical criteria, policies, and procedures to authorize referral requests from medical professionals, clinical facilities, and ancillary providers. The incumbent will directly interact with provider callers and serve as a resource for their needs.
Position Responsibilities
Possesses the Ability To:
Experience & Education
Preferred Qualifications
Knowledge of:
At Sunshine Enterprise USA LLC, we firmly believe that our employees are the heartbeat of our organization, and we are happy to offer the following benefits:
SUNSHINE ENTERPRISE USA LLC is an Equal Opportunity Employer and does not discriminate based on race or ethnicity, religion, sex, national origin, age, veteran disability or genetic information or any other reason prohibited by law in employment.
Compensation details: 33.65-54.93 Yearly Salary
PId825a6978adf-25401-34000600
About the Company:
Sunshine Enterprise USA LLC
Full Time
$134k-174k (estimate)
03/12/2024
05/11/2024
seu-usa.com
Oviedo, FL