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LPN CASE MANAGER

Hawaii-Mainland Administrators, LLC. Phoenix Full-Time
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Hawaii Mainland Administrators, LLC is a privately held, national Healthcare company which provides a broad range of development, management and information services.  Full time employment has career growth opportunities, life insurance, paid Holidays, PTO and many more great benefits.

 

Hawaii Mainland Administrators, LL ( HMA, LLC ) is seeking a full time LPN Case Manager for the Tempe, AZ location. The successful candidate will be responsible for reviewing recommended treatments, hospital stays, and referrals within the scope of medical necessity, cost efficiency and plan coverage while ensuring quality of care, ongoing review of active admissions and continual communication with physicians and other medical professionals.

 

Salaried position DOE, with 401(k) and excellent company paid benefits. EOE

Please submit your resume and salary requirement by using fax (866.293.9670) or Email blocked - click to apply.

Job Purpose:  Responsible for reviewing recommended treatments, hospital stays, and referrals within the scope of medical necessity, cost efficiency and plan coverage while ensuring quality of care, ongoing review of active admissions and continual communication with physicians and other medical professionals.


Education Required:  LPN with current license; Associates Degree in Nursing

 

Experience:  Previous Case Management a huge plus

 

Skills:

Inpatient Medical Record Review; Claims Review Knowledge; Medical Records; Prior Authization

 

  • Prior Authorization Review
  • Inpatient Medical Record Review (Concurrent)
  • Work with Medical Director & other med mgmt staff
  • Claims review
  • Inpatient Medical Record Review (Retrospective)
  • Stop Loss reporting and case management
  • Short Term Disability
  • Work with hospital staff & physicians

Recommended skills

Case Management
Claims
Nursing
Licensed Practical Nurse
Medical Records
Medical Necessity

Location

CareerBuilder Estimated Salary

Based on Job Title, Location and Skills
$72K
Below Avg. Average Above Avg.

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LPN CASE MANAGER
Estimated Salary: $87K
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