Massachusetts Licensed Utilization Coordinator - Tulsa Oklahoma

Company: VirtualVocations
Location: Tulsa, Oklahoma
Posted On: 02/02/2025

A company is looking for a LPN/LVN Utilization Management Coordinator.



Key Responsibilities:

Conducts timely clinical decision reviews for services requiring prior authorization
Applies established criteria to determine the medical necessity of services
Communicates review results and provides decision-making guidance to clinical teams


Required Qualifications, Training, and Education:

Associate degree
Current MA clinical license in good standing
3+ years of combined clinical and utilization management experience
Experience in a health plan or with a care management platform is a strong plus
Must pass the credentialing process More...

Register an account with us and set up job agents! We'll email you immediately when jobs like this are posted on our site.