MontgomeryRecruiter Since 2001
the smart solution for Montgomery jobs

California State Licensed Utilization Management Nurse

Company: VirtualVocations
Location: Montgomery
Posted on: September 17, 2023

Job Description:

A company is looking for a Utilization Management Nurse (LVN) for a remote administrative position.
Key Responsibilities:

Performing daily clinical reviews while patients are in the hospital/SNF
Transferring members to an in-network hospital from an out-of-network ER/hospital

Required Qualifications:

Clear and active LVN CA State license
2+ years of telephonic utilization review/management experience from an acute care/inpatient/hospital stay setting (not payor side)
Experience with an MSO, Health Plan, or Delegated Risk arrangement
Understanding of regulatory requirements such as Medicare, Medi-Cal, and Commercial/DMHC
Computer savvy with Microsoft Office, strong skills in Excel; experience using Milliman or Interqual, EZ Cap 6 is a plus

Keywords: VirtualVocations, Montgomery , California State Licensed Utilization Management Nurse, Executive , Montgomery, Alabama

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest Alabama jobs by following @recnetAL on Twitter!

Montgomery RSS job feeds