California Licensed Outpatient RN Case Manager
Job in
Phoenix, Maricopa County, Arizona, 85003, USA
Listed on 2026-03-05
Listing for:
Virtual Vocations Inc
Full Time
position Listed on 2026-03-05
Job specializations:
-
Nursing
Clinical Nurse Specialist, Healthcare Nursing, Nurse Practitioner
Job Description & How to Apply Below
Key Responsibilities Reviews authorization requests for medical necessity and documents the process Processes medical necessity denials and refers them to the physician for review Coordinates with health plans for expedited appeals and maintains compliance with standards
Required Qualifications Graduation from an accredited school of nursing Active, unrestricted Registered Nurse license through the State of California 1+ years of experience in case management or utilization review in a clinical setting Proficient with computers and Microsoft Windows environment Reside in the San Diego, CA area
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