Medical Case Manager Job at The Judge Group, Orange, CA

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  • The Judge Group
  • Orange, CA

Job Description

The Judge Group is looking for a Medical Case Manager for a temp role in Orange, CA!

About the Role

The Medical Case Manager will be responsible for reviewing and processing requests for authorization and notification of behavioral health services from health professionals, clinical facilities, and ancillary providers. The incumbent will handle prior authorizations, concurrent review, and related processes, utilizing CalOptima Health’s medical criteria, policies, and procedures to authorize referral requests. The incumbent will also interact with providers and facilities directly and serve as a resource for their needs.

Responsibilities

  • Reviewing and processing requests for authorization and notification of behavioral health services
  • Handling prior authorizations, concurrent review, and related processes
  • Interacting with providers and facilities directly
  • Serving as a resource for their needs

Qualifications

Current California unrestricted license such as LCSW, LPCC, LMFT, or RN with the required education. 3 years of clinical experience. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position may also be qualifying.

Required Skills

  • Current California unrestricted license
  • 3 years of clinical experience

Preferred Skills

  • Utilization management reviewer experience
  • Managed care experience
  • Behavioral health clinical experience

Pay range and compensation package

$40 to $60 hourly

If this sounds like a fit for you or anyone you know, please send updated resume to Eric Landes at elandes@Judge.com

Equal Opportunity Statement

Include a statement on commitment to diversity and inclusivity.

Job Tags

Hourly pay, Temporary work,

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