Minnesota Licensed Utilization Nurse
Job Summary
Coordinating Health Plan Delegation Oversight audits, the remote Minnesota Licensed Utilization Nurse will prepare pre-audit documentation, communicate with auditors, and conduct internal quality reviews, working full-time Monday through Friday from 8 AM to 5 PM.
Key responsibilities:
- Prepare and submit pre-audit documentation as outlined on Health Plan audit tools
- Communicate with Health Plan auditors regarding audit documents and processes
- Conduct comprehensive internal audits of the end-to-end utilization management process
Required qualifications:
- Graduation from an accredited Licensed Vocational/Practical Nurse program
- Current LVN/LPN license
- 2+ years of clinical experience working as an LVN/LPN
- 1+ years of utilization management experience, especially in Prior Authorization
Complete Job Description
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