Job Summary

is filling a position for a .

Core Responsibilities Include:

• Providing expertise for clinical authorizations for inpatient care
• Making outbound calls to assess members' current health status
• Performing case reviews telephonically

Position Requirements Include:

• Ability to work onsite with the potential to transition into telecommute in 6 months
• Associate’s degree in Nursing combined with 2+ years of experience
• Current, unrestricted LVN license specific to the state of employment
• 2+ years of managed care and/or case management experience
• 3+ years of clinical experience
• Knowledge of managed care, medical terminology, claims, ICD-9 codes, etc