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UM Coordinator - LVN (Managed Care)

Managed Care Resources
Details
Location: CA - Van Nuys Job Type: Health Care
Nurse
Insurance
Base Pay: N/A Required Education: Not Specified
Bonus: Required Experience: At least 1 year(s)
Other: Required Travel: None
Employee Type: Full-Time Relocation Covered: Not Specified
Industry Healthcare - Health Services, Managed Care, Insurance

Job ID: 06A*

Description
  1. Input referral requests from requesting physician, office or provider
  2. Verify insurance eligibility, co-pays
  3. Process authorizations
  4. Support UM Nurses with transportation coordination and received approvals
  5. Fast Paced Office Environment.
  6. Home Health Case Manager with 2+ years experience please apply
  7. Medical Office Administrator, Manager or Coordinator with 2+ years experience please apply! 

Must be knowledgeable in:

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

Requirements


About the Agency:

Managed Care Resources, Making Careers is a Health Care Staffing Agency in the niche fields of Case Management, Utilization Management / Review, Quality Management / Assurance and Performance Improvement. MCR, Making Careers has been servicing the State of California since 1987 providing Medical Professionals to Hospitals, Medical Groups, IPAs, Health Plans, Healthcare Foundations, Home Health Departments, Medical Offices, Managed Care and Insurance Companies in search of both Permanent and Temporary Staff. Call: (310)-470-4232 or (800)-350-1471 for more information!