eNLC Licensed Vocational Nurse

Job Summary

A company is looking for a UM Licensed Vocational Nurse.

Key Responsibilities

• Conduct medical necessity reviews and coordinate authorizations for healthcare services
• Apply established criteria to assess clinical documentation and assist with prior authorization requests
• Collaborate with clinical staff and maintain accurate documentation of reviews and determinations

Required Qualifications

• Active and unrestricted LVN license in an eNLC state
• 3+ years of nursing experience
• 1+ years of utilization management experience
• Familiarity with medical terminology and clinical documentation standards
• Proficiency in Microsoft Office and experience with healthcare systems