Concurrent Review Case Managers Needed
Orangeonsite
Posted 151mo ago · via Smartrecruiters
About this role
About Case Managers are vital to the care of our clients – come join us and make a difference! Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for our members. This position provides case management intervention on behalf of members with short-term, stable and predictable course of illnesses. Also responsible for answering the medical appropriateness, quality, and cost effectiveness of proposed hospital/medical/surgical services in accordance with established criteria. This activity may be conducted prospectively, concurrently, or retrospectively. Review and evaluate proposed services utilizing medical criteria and/or established policies and procedures.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
We check your title trajectory against the seniority signal of the role.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Orange. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
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