Job Summary
A healthcare company is filling a position for a Telecommute Preservice Review Licensed Practical Nurse.
Core Responsibilities Include:
- Playing a key role in strategic reduction of missed shifts for private duty nursing cases
- Tracking monthly reports
- Performing Utilization Management (UM) for 50 members in pediatric residential facilities
Must meet the following requirements for consideration:
- High School Diploma / GED or higher
- Current and unrestricted LPN/LVN License in the State of PA
- 2 years of Health Plan and Medicaid experience
- Knowledge of/experience with UM - Utilization Management Process
- Experience using a computer and Microsoft Office (Word, Excel, and Outlook) to create, copy, send, save, and edit documents