Identify, enroll and/or refer patients to Ambulatory Care Manager. Support execution of developed care plans to maximize healthcare outcomes and facilitate wellness. Required Skills:
High School Diploma.
. Collects and analyzes utilization data. . Assists with discharge planning and care coordination. . Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.
Contractor can be remote anywhere in the US as long as they have an unrestricted CA LPN license. .
40 hours a week. . Must be able to work full time hours with possible of some overtime hours if needed. .
Prior Authorization review experience required.
* Valid and current LPN license. .
* Education: high school diploma. * Proficient in basic computer software with the ability to troubleshoot basic computer issues, including Microsoft Office Suite. .
* Must type at least 40 words per minute. .
* Basic functional math skills.
A staffing agency has a current position open for a Remote Licensed LPN Reviewer. .
Candidates will be responsible for the following:
Reviewing requests by collecting additional data and applying appropriate clinical criteria.
Remote Chronic Care Coordinator (MA or LPN)
Jacksonville, FL. Type: Full-time. Min. . Experience: Some Experience. Position Summary. Wellbox is a growing. healthcare company that provides innovative chronic, preventative, and virtual. care management solutions.
Experience to include utilization review. .
Licensure may also include one or more of the following: CEAP, LMSW, LCSW, LPC, LPN or RN. .
CEAP certification as required by management. .
Strong organizational, time management and communication skills.
Utilization Review Care Manager - Behavioral Health - Remote California. Location San Diego, California, 92108 Category Clinical Services Job Id R00000037225 Candidates must have a current and active RN license or independent-level Behavioral Health license in the state of California, i. .e.