Mark Powers

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

• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department
• Reviews authorization requests for CalAIM services for medical appropriateness utilizing medical criteria and/or established CalOptima Health policies and procedures.
• Monday through Friday; 8:00 a.m. to 5:00 p.m. PST

Required Qualifications for LVN Prior Authorization Nurse / Case Manager

• High School Diploma or GED
• LVN license in CA
• 3+ years of experience working as a nurse

Preferred Qualifications for LVN Prior Authorization Nurse / Case Manager

• MCO experience 
• Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).

Benefits for LVN Prior Authorization Nurse / Case Manager

• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (advocacy) Program

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 [email protected]. 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.