Utilization Management LVN
WelbeHealth(11 days ago)
About this role
The LVN Utilization Management role at WelbeHealth involves reviewing and auditing authorization requests to ensure services meet medical guidelines, supporting the delivery of quality senior healthcare. The position requires clinical expertise, chart auditing skills, and knowledge of Medicare and Medicaid UM regulations.
Required Skills
- Chart Auditing
- Utilization Management
- Medicare
- Medicaid
- Medical Necessity
- Care Plans
- Authorization Review
- Clinical Review
- DME
- Immunizations
About WelbeHealth
welbehealth.comWelbeHealth is a full‑service senior health care provider that operates PACE (Program of All‑Inclusive Care for the Elderly) programs to deliver comprehensive, coordinated care for frail and vulnerable older adults. Its interdisciplinary teams deliver medical, behavioral, rehabilitative and social services — including primary care, nursing, therapy, home care, transportation and adult day services — so participants can remain safely and independently at home. The organization emphasizes quality, compassion and value while integrating Medicare and Medicaid benefits to manage care and costs for seniors.
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