You might also like
in Sacramento, CA
RN or LVN-Concurrent Review/Case Manager/Discharge Planner
Hours | Full-time, Part-time |
---|---|
Location | Sacramento, California 95811 Sacramento, California |
About this job
This opportunity is with a great healthcare company that offers room for growth and competitive pay.
Job Description:
- Review requests for prior authorization of medical services such as surgeries, pain management, home health care
- Review provider requests to ensure medical necessity for services requiring preauthorization
- Utilize nationally recognized criteria to determine medical necessity of services requested
- Refer provider requests appropriately to Medical Director when medical necessity of services is not met based on the criteria
- Act as a clinical resource to referral staff
- Act as a liaison between the Provider and the Medical Director
- Data enters authorizations into the system
Work Environment/Schedule:
- 8:30am - 5:00pm (alternative hours could be discussed).
- Opportunity to work 2-3 days remotely once well trained in the role.
Requirements:
-Must be licensed RN or LVN
-Previous case management experience is preferred
About Aerotek:
We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.
Aerotek is acting as an Employment Agency in relation to this vacancy.