Texas Licensed Utilization Management LPN

Job Summary

A company is looking for a Utilization Management LPN.

Key Responsibilities

• Review and process authorization requests, including consults, follow-up visits, and procedures
• Apply medical necessity criteria and evaluate plan benefits
• Ensure accurate and timely documentation within EPIC or similar systems

Required Qualifications

• Active LVN/LPN license in a Compact State or Texas
• Minimum 2 years of clinical experience, preferably in utilization management or managed care
• Strong knowledge of medical terminology and clinical workflows
• Experience applying medical necessity criteria such as InterQual
• Ability to multitask, prioritize workload, and meet deadlines