This job is closed
Applications are no longer available for this announcement. Explore current related opportunities below.
Job description
Akido Labs, Inc. is seeking a Clinical Review Nurse to focus on complex case management and prior authorization within a California managed care setting. You will review outpatient requests, analyze medical necessity, and ensure timely determinations in collaboration with Medical Directors and providers.
The role emphasizes adherence to MCG criteria, DMHC/CMS regulations, and EZCap-based documentation, with opportunities to expand into complex case management as the program grows.
#J-18808-Ljbffr
Worksite address
chino, CA, 91708, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.