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Case Manager LVN (Prior Auth)
Judge Group Orange, CA
$95k-115k (estimate)
Full Time | Business Services 3 Months Ago
Save

Judge Group is Hiring a Case Manager LVN (Prior Auth) Near Orange, CA

Location: Orange, CA
Salary: $30.00 USD Hourly - $38.00 USD Hourly
Description: The Judge Group is currently seeking a Case Manager LVN (Prior Auth) for a fantastic healthcare company in Orange, CA!
This job will have the following responsibilities:
  • 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 on-line responsibilities as well as 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. 
  • The incumbent will directly interact with provider callers and serve as a resource for their needs.
Qualifications & Requirements:
  • High school diploma or equivalent required. Current, unrestricted Licensed Vocational Nurse (LVN) license to practice in the state of California required. 
  • 2 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. 
  • Have access to means of transportation for work away from the primary office approximately 5% of the time.
  •  An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
If you or someone you might know would be interested to apply, please send your most updated resume to me at jmaybrier@judge.com
Thank You,
Jacob
Contact: jmaybrier@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com

About the Company:
Judge Group

The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India.

The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474.

Company Size:
5,000 to 9,999 employees

Industry:
Computer/IT Services

Founded:
1970

Website:
https://www.judge.com

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$95k-115k (estimate)

POST DATE

01/22/2024

EXPIRATION DATE

05/11/2024

WEBSITE

judge.com

HEADQUARTERS

FORT MYERS, FL

SIZE

3,000 - 7,500

FOUNDED

1970

TYPE

Private

CEO

TINA GANNON

REVENUE

$200M - $500M

INDUSTRY

Business Services

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The Judge Group provides staffing, corporate training and digital consulting services.

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