LVN Prior Authorization Nurse

Job Summary

A company is looking for a Preservice Review Nurse LVN - Remote.

Key Responsibilities:

• Screen and review prior authorization requests for medical necessity and appropriateness
• Coordinate healthcare services with providers, facilities, and community resources
• Maintain effective communication with health plans, physicians, and patients

Required Qualifications:

• Graduation from an accredited Licensed Vocational Nurse program
• Active, unrestricted LVN license in California
• 2+ years of clinical experience in acute or ambulatory care
• 2+ years of care management, utilization review, or discharge planning experience
• Experience in an HMO or Managed Care setting