Related skills
prior authorization lvn medicare medicaid utilization management📋 Description
- Chart audits to determine if follow up services are requested
- Oversee clinical inboxes and queues for documents and requests
- Identify and correct chart inconsistencies in UM authorizations
- Review prior authorization for medical necessity with care plans
🎯 Requirements
- Minimum 1 year of chart auditing or UM review experience
- Knowledgeable in Medicare/Medicaid UM regulations
- Unencumbered LVN licensure
🎁 Benefits
- Medical insurance coverage starting day one
- 17 PTO days, 12 holidays, 6 sick days
- Advancement opportunities; track record of promoting from within
- Additional benefits
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