Travel LPN / LVN - Case Manager in California

TravelNurseSource

Licensed Practical / Licensed Vocational Nurse (LPN / LVN) | Case Manager Location: California Agency: job.com Pay: Competitive weekly pay (inquire for details) Start Date: ASAP About the Position Work Settings: Acute Hospital; Long Term Acute Care/Rehab/Skilled Nursing Case Management/Utilization Review: Admission Criteria, Care coordination, Discharge Planning; Utilize InterQual Criteria; Utilize Milliman Guidelines Utilization Review: Admission Criteria; Appeals and Denials; Concurrent Review; Continued Stay Reviews; Medical Necessity; Retrospective Review; Utilize InterQual Criteria; Utilize Milliman Guidelines Regulatory: CMS; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set) Measures; HIPAA guidelines (Health Insurance Portability and Accountability Act); ICD 10 Coding; NCQA (National Committee for Quality Assurance); OSHA; The Joint Commission/ Core Measure/National Safety Goals; Workers Compensation Requirements RN License BLS Contact : Cell: View phone number on click.appcast.io #J-18808-Ljbffr TravelNurseSource

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Vacancy posted 4 days ago

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