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The details about the job are below:

JOB #   29A*
JOB TITLE   LVN Medical Reviews (MSO)
JOB DESCRIPTION   Our client is in the search for an Inpatient Concurrent Review Nurse and an Outpatient Prior Authorization Nurse (Ambulatory Case Managers).  Fast paced office environment.

This financially stable MSO is looking for Temporary, Temp to Perm and Per Diem candidates to fill the immediate void and they are growing due to the acquisition of a new client.

Must be able to:

  • Evaluate the quality of necessary medical services, and be able to acquire and analyze the cost of care.
  • Assist in the formulation of medical case management policies and procedures; understand and interpret policies, procedures and regulations.
  • Develop and maintain effective working relationships / communication with all levels of staff / care.
  • Effectively utilize computer and appropriate software and interact as needed with Information Systems.

 Must be knowledgeable in:

  • Guidelines and regulations relevant to case management and/or utilization management.
  • ICD-9 and CPT coding, requirements for prior approval.
  • Effective charting practices and guidelines.
  • Principles and practices of health care, health care systems, and medical administration.

 

QUALIFICATIONS   LVN
LOCATION   Tarzana
JOB TYPE   Temporary
REQUIREMENTS   N/A
ADDITIONAL REQUIREMENTS   N/A
LICENSES/CERTIFICATIONS   Valid LVN License (California)

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