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Case Management LVN or RN, AppleCare Medical - La Palma, CA

UnitedHealth Group

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Job Details

Case Management LVN or RN, AppleCare Medical - La Palma, CA(Job Number:718607)

AppleCare Medical Management Group was incorporated in 2003. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board - certified private - practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving the health of our communities.


As a part of our continued growth, we are searching for a new Case Manager to join our team.

As a Case Management Nurse you will be responsible for helping our members to properly utilize our health services and maximize their benefits. You will be tasked with assessing and interpreting member needs and identifying solutions that will help our members to live healthier lives! This is an inspiring job at a truly inspired organization. Ready for a new path? Join us and start doing your life's best work.(sm)


Primary Responsibilities:
  • Perform case management services for our members 
  • Determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination
  • Assess and interpret patient needs and requirements
  • Identify solutions to non - standard requests and problems
  • Work with minimal guidance; seeks guidance on only the most complex tasks
  • Translate concepts into practice
  • Provide explanations and information to others on difficult issues
  • Coach, provide feedback, and guide others
  • Act as a resource for others with less experience

Job Clinical Utilization Managemen
Primary Location US-CA-LA PALMA
Other Location 
Organization AppleCare
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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