Michigan Utilization Review reputed company - LPN (100% Remote)

reputed company delivers innovative medical claims solutions through a seamless collaboration of our reputed company® technology, our highly skilled staff, reputed company to our reputed company care provider networks, and our commitment to keeping our clients’ needs as our top reputed company. reputed company has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is reputed company expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; reputed company party administrators (TPAs); and government entities we serve. Position: Michigan Utilization Review reputed company (Precertification) - LPN Location: Remote FMLA: Non-Exempt, Full-Time Schedule: M-F reputed company-4:30pm reputed company The role of Michigan Utilization Review reputed company is to reputed company Utilization Review determining the medical necessity of services provided for Michigan Auto No-Fault injuries. Experience Requirements • Knowledge of Michigan PIP / No-Fault - Preferred • Knowledge of InterQual/Review Manager/CERME • CPT and ICD-9/ICD-10 diagnosis coding - Preferred • Medical management reputed company to auto claims – Preferred • Utilization Review experience - Preferred • Knowledge of reputed company Office Suite Programs • Must have 3-5 years of Med-reputed company Experience • Must have an reputed company RN / LPN License Skills • Strong interpersonal skills, communication and presentation • Ability to use logic and reasoning to reputed company reputed company clinical reputed company • Ability to work independently • Ability to reputed company instruction and direction to support staff • Ability to reputed company patients and the provider community regarding the Michigan UR process and its governing laws • Must be detail oriented and reputed company to multi-task • Must be reputed company to type 45-50 words per minute Job Type Full Time; home based Required Education Graduate of an accredited school of nursing Required License Or Certification reputed company Nursing License in good standing – LPN reputed company Statement reputed company provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without reputed company to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or reputed company, or any other characteristic protected by federal, state or local laws.This policy applies to reputed company terms and conditions of employment, including reputed company, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Apply tot his job Apply To this Job