Licensed Vocational Nurse, Utilization Management
AltaMed Health Services(1 month ago)
About this role
The LVN Utilization Management Nurse (UM Nurse) at AltaMed reviews authorization requests and evaluates proposed hospitalization, home care, and inpatient/outpatient treatment plans to determine medical appropriateness and coverage. The role applies national/state, health plan, and nationally recognized guidelines to support efficient, appropriate care decisions within the utilization management program.
Required Skills
- Utilization Management
- Prior Authorization
- Medical Review
- Clinical Documentation
- Care Coordination
- Patient Assessment
- Interdisciplinary Communication
Qualifications
- Licensed Vocational Nurse
- BLS Certification
About AltaMed Health Services
altamed.orgAltaMed is your community health network. Find compassionate, culturally sensitive health care services that meet your family’s needs at every stage of life.
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