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LVN, UM Case Manager APPLY ONLINE

Location(s): Brockton / Riverside

Status: Full-time

Department: Utilization Management


Responsible for reviewing retrospective referrals based on claims and Medicare FFS referrals to the surgery center based on medical necessity and clinical criteria. Use of Division of Financial Responsibility and Authorization Guidelines to make decisions.  High school diploma or GED required. Graduate of an accredited LVN program. A.A. diploma preferred. One to two years related experience and/or training; or equivalent combination of education and experience. Current California LVN license required.

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