Job Summary
A benefits management company is seeking a Remote Utilization Management LPN or LVN Nurse.
Candidates will be responsible for the following:
- Communicating outcomes of UM authorization reviews, both verbally and in writing
- Working with non-clinical team to obtain additional clinical information, as needed
Applicants must meet the following qualifications:
- Minimum of 2 years of UM experience in a managed care, payor environment
- Minimum of 3 years of nursing in an acute or outpatient setting
- Experience with Medical Necessity Criteria
