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Utilization Management LVN / Licensed Vocational Nurse

Company: Healthcare Support
Location: Monterey Park
Posted on: September 20, 2022

Job Description:

Are you an experienced UM Nurse ??? LVN looking for a new opportunity with a prestigious health care organization in Monterey Park, CA? Do you want the chance to advance your career by joining a rapidly growing company? If you answered ???yes" to any of these questions ??? this is the position for you! UM Nurse ??? LVN Daily Responsibilities:

  • Review & screen incoming service referral requests for medical necessity
  • Knowledge of health plan DOFRs and contracts and how they apply to the review process.
  • Review member???s utilization and claim history when processing a referral. Requirements:
    • Active Unrestricted Current California Licensed Vocational Nurse license.
    • 1+ years of experience of Utilization Management, Utilization Review, Prior Authorization or Concurrent Review from another managed care organization or hospital/inpatient setting)
    • Working knowledge of ICE, DHS, DMHC, NCQA, and CMS standards Hours for this Home Health LVN Position:
      • Monday ??? Friday, 8AM ??? 5PM Advantages of this Opportunity:
        • Completive pay: starting at -$28+ -
        • Medical, Dental, and Vision
        • FSA
        • 8 Paid Holidays
        • Tuition Reimbursement
        • 401(k) Matching
        • PTO Year 0-2 = 12 days
          • Year 3-5 = 15 days
          • 6+ Years = 18 days Interested in being considered for this UM Nurse ??? LVN role? If you are interested in applying to this position, please click Apply Now for immediate consideration. Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. #LI-DD1

Keywords: Healthcare Support, Monterey Park , Utilization Management LVN / Licensed Vocational Nurse, Executive , Monterey Park, California

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