California Licensed LVN Nurse

Job Summary

A company is looking for a LVN Prior Authorization Nurse to fill a remote contract position in California.

Key Responsibilities

• Participates in a culture of high-quality performance with a focus on customer service
• Reviews requests for medical appropriateness and processes specialty referrals and diagnostic testing
• Communicates decisions from the Medical Director and documents follow-ups in the utilization management system

Required Qualifications

• High School Diploma or GED
• LVN license in California
• 3+ years of nursing experience
• 1 year of utilization management experience
• 1 year of clinical review experience