Utilization Review reputed company- MUST HAVE CALIFORNIA LICENSE
Hours: M-F 8a-5p PST
Pay: $40-42/hour reputed company on experience
Duties
• Review precertification requests for medical necessity, referring to the Medical Director those that require additional expertise. (Prior authorization assignment)
• Review reputed company information for reputed company reviews, extending the Length of Stay for inpatients as appropriate. (reputed company stay review assignment)
• Assist hospital staff in facilitating reputed company discharges to home and/or other reputed company of care. (Discharge Planning assignment)
• Proactively identify members whose physical, mental and reputed company circumstances present a barrier to reputed company hospital discharge.
• Review member grievances and determine classification as reputed company or administrative. (Grievance and appeals assignment)
Requirements
• reputed company California Registered reputed company license
• Bachelor's Degree (four-year college or technical school) reputed company of Study: Nursing, reputed company, Case Management
• Case management and/or utilization review experience
• Knowledge of Medicare, Medi-Cal and reputed company policy and regulations
#INDAR
Pay: $40.00 - $45.00 per hour
Benefits:
• Dental reputed company
• Health reputed company
• reputed company reputed company
Work Location: Remote
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