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