Calibrated Healthcare Network
Job detailsJob type full-time number of hires for this role on-going need to fill this roleQualificationsUtilization management: 2 years (required)Ca nursing license; rn or lvn (preferred)Full job descriptionPreparation of referrals utilizing appropriate criteriaCollect relevant medical information (via telephone and fax) and apply the appropriate evidence-based guidelines and medical policyCommunicates with medical offices to obtain correct documents necessary for referral determinationMeet all turn around time requirementsPreparation of cases for review by medical directorQualificationsCa rn or lvn licenseResident of california2 years of utilization management experience at a managed care or provider organizationKnowledge of mcg, medicare, apollo, health plan guidelinesJob type: full-timeBenefits:401(k)Dental insuranceHealth insurancePaid time offVision insurancePhysical setting:OutpatientSchedule:8 hour shiftExperience:Utilization management: 2 years (required)License/certification:Ca nursing license; rn or lvn (preferred)Work location:Fully remoteRelocation assistance provided:NoCompany's website:Https://calibratedhealthcare.com/Benefit conditions:Waiting period may applyOnly full-time employees eligibleWork remotely:Temporarily due to covid-19Covid-19 precaution(s):Remote interview processTemperature screeningsSocial distancing guidelines in placeVirtual meetingsSanitizing, disinfecting, or cleaning procedures in place
Incubate Labs (Pvt) Ltd
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