Prior Authorization Nurse ( Review Nurse )
Regal Medical Group - Los Angeles, California, United States,Work at Regal Medical Group
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Overview
Organizational Responsibilities:Proactively support and practice company mission, vision and values.Follow Employee Handbook guidelines and company policies and procedures.Follow established departmental dress code.Appropriately and accurately maintain time keeping records.Adhere to attendance policy and time off requests.Follow safety policies and procedures.Be flexible and adaptable and courteous and promote professionalism.Communicate verbally and in writing through appropriate channels.Maintain confidentiality at all times in compliance with company policy and HIPAA requirements.Employee has completed all required annual Compliance training and signed attestation form is attached for each module.
Education and/or Experience:Active California LVN LicenseMinimum of 3+ year of prior authorization/ denials experienceMinimum of 1+ year of acute care/case management experienceProficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point)Knowledge of computers, faxes, printers and all other equipmentAbility to deal with responsibility with confidential mattersAbility to work in a multi-task, high stress environment
The pay range for this position at commencement of employment is expected to be between $37.50 - $50.00 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.Details of participation in these benefit plans will be provided if an employee receives an offer of employment.If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.Full Time Position Benefits:The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.Health and Wellness:Employer-paid comprehensive medical, pharmacy, and dental for employeesVision insuranceZero co-payments for employed physician office visitsFlexible Spending Account (FSA)Employer-Paid Life InsuranceEmployee Assistance Program (EAP)Behavioral Health Services
Savings and Retirement:401k Retirement Savings PlanIncome Protection Insurance
Other Benefits:Vacation TimeCompany celebrationsEmployee Assistance ProgramEmployee Referral BonusTuition ReimbursementLicense Renewal CEU Cost Reimbursement ProgramBusiness-casual working environmentSick daysPaid holidaysMileage
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.Company DescriptionAs one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.