Texas Licensed Vocational Nurse
Job Description
A company is looking for an LVN - Utilization Review - Remote.
Key Responsibilities
• Perform documentation reviews to assess medical necessity and benefit correlation for requested procedures and services
• Facilitate communication with the clinic, payor, and other customers
Required Qualifications
• Licensed Vocational Nurse
• TX LVN license
• 2+ years of utilization review experience at a health plan, ACO, IPA, or provider group
• Ability to maintain CEU requirements
• Proven HMO, PPO, and POS insurance knowledge
Key Responsibilities
- Perform documentation reviews to assess medical necessity and benefit correlation for requested procedures and services
- Facilitate communication with the clinic, payor, and other customers
Qualifications
- Licensed Vocational Nurse
- TX LVN license
- 2+ years of utilization review experience at a health plan, ACO, IPA, or provider group
- Ability to maintain CEU requirements
- Proven HMO, PPO, and POS insurance knowledge
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