Virginia Licensed Practical Nurse
Job Summary
To ensure the authorization of services aligns with clinical protocols, the remote full-time Virginia Licensed Practical Nurse will review clinical information from providers, validate member benefits, and ensure accurate data entry into the claims system.
Key responsibilities
- Review clinical information to determine service authorization based on clinical protocols
- Validate member benefits and insurance enrollment information prior to authorizing services
- Ensure accurate information is entered into the claims system for payment processing
Required qualifications
- High School Diploma (required)
- Licensed Practical Nurse (LPN) certification (required)
- 3 years of related clinical experience (required)
- Utilization Management experience (preferred)
- Diagnostic Imaging experience (preferred)
Complete Job Description
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