Medica Talent Group is excited to bring this full-time, direct hire opportunity to join a leading managed care organization based in LA County.
Schedule: M-F: 8AM-5PM
6 weeks of training onsite in Montebello after which 100% remote (with the exceptions of occasional meetings)
Equipment would be provided by the organization.
Job type-Direct hire, full time
Location: Montebello, CA
Salary: $30/hr.-$37/hr.
Job Overview
The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/state, health plan, nationally recognized guidelines. Responsible for reviewing proposed hospitalization, home care, and inpatient/outpatient treatment plans for medical necessity and efficiency with coverage guidelines. The UM Nurse determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.
Minimum Requirements
1. Current valid License as a Licensed Vocational Nurse.
2. Minimum of 2 years of managed care experience
3. Demonstrated ability to work with automated systems, including electronic medical records and MS Office products such as Word, Excel and Outlook.
4. Excellent customer service; ability to be an effective communicator
5. Knowledge of federal, state and other applicable standards for clinical practice for assigned area(s) of responsibility.
6. Ability to work collaboratively with diverse individuals and situations, including strong problem solving and conflict resolution skills.
Benefits & Career Development
- Medical, Dental and Vision insurance
- 403(b) Retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career Advancement & Development opportunities
- Paid Time Off & Holidays
- Paid CME Days
- Malpractice insurance and tail coverage
- Tuition Reimbursement Program
- Corporate Employee Discounts
- Employee Referral Bonus Program
- Pet Care Insurance
Job Type: Full-time
Pay: $30.00 - $37.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
Application Question(s):
- Are you comfortable with 6 weeks of onsite training in Montebello, CA?
Experience:
- Case management: 2 years (Required)
License/Certification:
- CA LVN License (Required)
Location:
- Los Angeles, CA (Required)
Work Location: Remote