California Licensed Vocational Nurse - Raleigh North Carolina

Company: VirtualVocations
Location: Raleigh, North Carolina
Posted On: 09/21/2024

A company is looking for a Licensed Vocational Nurse (LVN) in Utilization Management - Remote.



Key Responsibilities

Screen and review prospective, concurrent, and retrospective referrals for medical necessity and appropriateness of service
Coordinate health care services with physicians, facilities, and community resources
Draft denial language and ensure compliance with nationally recognized UM criteria


Required Qualifications

Graduation from an accredited Licensed Vocational Nurse program
Active, unrestricted LVN license in the state of California
1+ years of utilization management experience including prior authorization
3+ years of experience working as an LVN/LPN preferred
Experience in a Managed Care setting preferred More...

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