Utilization Management LVN role involves reviewing and auditing authorization requests to ensure timely, quality, compliant, and cost-effective care to participants. The role requires experience in chart auditing or UM review, knowledge of Medicare and Medicaid UM regulations, and LVN licensure.
Requirements
- Minimum of one (1) year of chart auditing or UM review experience
- Knowledgeable in areas of Medicare and Medicaid UM regulations
- Unencumbered LVN licensure
Benefits
- Medical insurance coverage (Medical, Dental, Vision) starting day one of employment
- Work/life balance – 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
- Advancement opportunities
- 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits