Remote Utilization Management LPN or LVN Nurse

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