Utilization Review LVN/RN

HealthCare Support Staffing, Inc. (HSS) is seeking a Utilization Review LVN/RN to assess services for members, analyze clinical service requests, and conduct prior authorization reviews. The ideal candidate has 2 years of inpatient background with hospital nursing, experience with Utilization Management, and familiarity with ICD10, CPT, and HCPCS coding.

Requirements

• 2 years Inpatient background with Hospital Nursing (Med-Surg, ER)
• Well versed in Utilization Management
• 6 + months of Interqual experience
• 6+ months of Coding with ICD10 and CPT/ HCPCS