Massachusetts Licensed Utilization Coordinator - Spokane Washington

Company: VirtualVocations
Location: Spokane, Washington
Posted On: 01/29/2025

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...

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