Health Net, Inc - Job Description: - The Care Manager II - Prior Authorization performs advanced and complicated case review and first level determination approvals for inpatient, outpatient and ancillary services requests, exclusive to a Medicare and Commercial population. - Reviews include medical appropriateness and medical necessity determination requiring considerable clinical judgment, independent analysis, critical-thinking skills and detailed knowledge of… Read  |  Email This © Work At Home Careers

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Care Manager II (CA)