Healthcare Career
4 days ago
Emonics, LLC is a leading healthcare provider offering quality services to patients. Our team is dedicated to providing exceptional care and support.
Job Description:This is a full-time position working in an outpatient setting. The successful candidate will be responsible for reviewing patient records, determining the necessity of treatments and services, and communicating with healthcare providers.
Responsibilities:The ideal candidate will have strong communication skills, attention to detail, and the ability to work independently. They will also have knowledge of Epic charting system and be familiar with hospital policies and procedures.
Requirements:- RN license in California
- 3 years of clinical experience in hospital or urgent care
- Utilization review experience
- Knowledge of ICD10, CPT, and HCPC
- Familiarity with HMO, PPO, and POS plans
- Managed care experience
- Knowledge of medical management process
- Knowledge of NCQA regulations
We offer competitive salary, comprehensive benefits package, and opportunities for professional growth and development.
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