HealthCare Support is a national leader in healthcare staffing that recruits top talent across the full breadth of the healthcare industry including clinical, non-clinical, administrative and executive level professionals. From local providers to national organizations, we match skilled talent with jobs tailored to meet our clients' unique needs.

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HealthCare Support

LVN Prior Authorization Nurse / Case Manager 
 
HealthCare Support is actively seeking a LVN Prior Authorization Nurse / Case Manager to fill an opening in Orange, California. 
 
Daily Responsibilities for LVN Prior Authorization Nurse / Case Manager
<ul>
	<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
	<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department
	<li>Reviews authorization requests for CalAIM services for medical appropriateness utilizing medical criteria and/or established CalOptima Health policies and procedures.
	 
	<li>Monday through Friday; 8:00 a.m. to 5:00 p.m. PST
</ul>
Required Qualifications for LVN Prior Authorization Nurse / Case Manager

<ul>
	<li>High School Diploma or GED
	<li>LVN license in CA
	<li>3+ years of experience working as a nurse
</ul>
Preferred Qualifications for LVN Prior Authorization Nurse / Case Manager

<ul>
	<li>MCO experience 
	<li>Bilingual in English and in one of CalOptima Health&apos;s defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).
</ul>
 
Benefits for LVN Prior Authorization Nurse / Case Manager

<ul>
	<li>Dental Insurance
	<li>Life Insurance
	<li>Employee Assistance Program (EAP)
	<li>Access to Investment Accounts
	<li>Career and educational tools within our Ingenovis ACT (advocacy) Program
</ul>
Pay Details: $37.43 - $50/ Hour 
 
Interested in Being Considered? 
If you are interested in applying to this position, please click Apply Now for immediate consideration. 
 
For additional questions, you may contact us at joey.carulla@healthcaresupport.com. Please include your phone number, Job Title, and location and our recruiters will reach out. 
 
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Utilization Management

$37 - $50/hr

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