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(Archived) LVN - Case Manager

Last Updated: 4/18/19

Job Description

Position: LVN Case Manager
Location: Los Angeles, CA
Duration: 4 Months

Job Information

  • Responsible for the daily review and processing of referral authorizations in accordance to turnaround time (TAT) standards set by ICE/Health Plan
  • Works collaboratively with Hospitalists, hospital partners, and care teams to provide holistic patient care that is focused on high quality in a cost effective
  • Monitors ongoing services and their cost effectiveness; recommending changes to the plan as needed using clinical evidence-based criteria
  • Utilizes authorization matrix, ancillary rosters, DOFR, and/or delegation agreements to drive decision-making
  • Maintains up to date knowledge of rules and regulations governing utilization management processes;
  • Input data into the Medical Management system to ensure timeliness of referral processing.
  • Verifies member benefits and eligibility upon receipt of the treatment authorization request.
  • Coordinates with Medical Director or referral specialists for timely referral processing
  • May be responsible for daily concurrent review, retro reviews, discharge planning, pre-certification/prior authorization request review and ensures patients meet appropriate level of care based on acceptable evidenced based criteria.
  • Develops a positive working relationship with internal and external customers
  • Perform additional duties as assigned.

Requirements

  • Graduation from an accredited LVN nursing program
  • Valid license as a Licensed Vocational Nurse
  • Experience in and willingness to be part of multi-disciplinary team
  • 3 years experience in public health nursing, acute care, case management and/or in-home health care

Benefits

  • Competitive salary commensurate with experience
  • Medical/Dental
  • Weekly Pay
  • Direct Deposit
  • Referral Bonuses
  • Childcare reimbursement

For immediate consideration please create a profile and submit your resume through our applicant tracking system. Applications with attached resumes will be given first consideration. Visit us online at [Register to View] to learn more about our company and to view additional openings in your area.

About Us: All Medical Personnel is a national leader in healthcare staffing and recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our team of seasoned recruiters are experienced in their ability to recruit, screen and place medical professionals for all types of healthcare settings.

Company Details

Irving, Texas, United States
Three Decades of Healthcare Staffing and RecruitingFor almost 30 years, All Medical Personnel has been the partner of choice for healthcare companies seeking clinical and non-clinical human capital solutions. Our success stems from understanding our partners’ strategic, financial, and operational goals, as well as providing exceptional talent and extraordinary service every day. Our clients incl...