eNLC Licensed Vocational Nurse

Job Summary

A company is looking for a Utilization Management LVN (Remote).

Key Responsibilities

• Conduct medical necessity reviews and coordinate authorizations for healthcare services
• Collaborate with clinical staff to ensure timely and accurate reviews while maintaining documentation
• Ensure compliance with regulatory and accreditation requirements and participate in team meetings and quality audits

Required Qualifications

• Active and unrestricted LVN license in an eNLC state
• 3+ years of nursing experience
• 1+ year of utilization management experience
• Knowledge of UM guidelines and clinical documentation standards
• Proficient in Microsoft Office and familiar with EMR or healthcare systems