RN / Case Management / California / Any / Case Management Nurse Job

Your Central Valley; Los Angeles (CA); Remote; USD 70,000 - 95,000; Full time

Job summary

A leading Utilization Management team is seeking a dedicated Case Management Nurse to work remotely. Candidates will evaluate the medical necessity and appropriateness of healthcare services for patients, requiring a California nursing license. This flexible role supports healthcare cost management while offering the potential for remote work.

Qualifications

• Candidates must have a California nursing license.
• LVN/LPN/RN qualifications are required.
• Detail-oriented with skills in healthcare service assessment.

Responsibilities

• Evaluate medical necessity and appropriateness of healthcare services.
• Support Case Management staff in lowering denial rates.

Skills

Detail-oriented

Assessment of healthcare services

Medical necessity evaluation

Education

California nursing license

Job description

Home > Job Search Results > RN / Case Management / California / Any / Case Management Nurse Job, Los Angeles (Downtown), California

• Job Type: Permanent

Job Description

Company Description: bServed UM is a leading Utilization Management team dedicated to transforming businesses and adding value to organizations' bottom line. With a focus on keeping hospital costs down, bServed helps lower Denials Rates, improve Length of Stay, and support Case Management staff. The company offers cost-effective Healthcare Management solutions tailored to hospitals, independent physician associations, and insurance companies.

Job Summary: bServed is seeking a dedicated and detail-oriented LVN/LPN/RN for a remote Case Management position. This role involves evaluating medical necessity, appropriateness, and efficiency of healthcare services for our patients. This is a remote position, allowing you to work from home. Candidates must have a California nursing license, but we welcome applicants from any state and will cover all costs of obtaining a California license.