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California Licensed Utilization LVN
Job Summary
A company is looking for a Utilization Management LVN.
Key Responsibilities
- Conduct chart audits to evaluate follow-up service requests
- Manage departmental clinical and authorization request communications
- Review prior authorization requests for medical necessity and care plan alignment
Required Qualifications
- Minimum of one (1) year of chart auditing or UM review experience
- Knowledgeable in Medicare and Medicaid UM regulations
- Unencumbered LVN licensure
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COMPLETE JOB DESCRIPTION
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