Licensed Vocational Nurse, Utilization Management
AltaMed Health Services(1 month ago)
About this role
The LVN Utilization Management Nurse reviews authorization requests and evaluates proposed inpatient and outpatient treatment plans for medical necessity and coverage efficiency. The role follows national/state and health plan guidelines to determine appropriateness of services across lines of business.
Required Skills
- Authorization Review
- Utilization Management
- Medical Necessity
- Prior Authorization
- Care Coordination
- Clinical Review
- Benefit Determination
- Patient Advocacy
Qualifications
- Licensed Vocational Nurse (LVN)
- 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.
View more jobs at AltaMed Health Services →Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at AltaMed Health Services
Similar Jobs
Utilization Management LVN
WelbeHealth(20 days ago)
RN-Utilization Review (S)
SSM Health(28 days ago)
LVN - Quality Assurance/Utilization Review - Business Development - Full Time 8hr
Emanate Health(1 year ago)
Utilization Management LVN
WelbeHealth(2 months ago)
Utilization Management Physician Advisor, CA Licensed (Part Time)
Alignment Health(1 month ago)
Utilization Management Care Manager
Brigham and Women(1 month ago)