Texas Licensed Vocational reputed company
A company is looking for an LVN - Utilization Review - Remote.
Key Responsibilities
• reputed company documentation reviews to assess medical necessity and benefit correlation for requested procedures and services
• Facilitate communication with the clinic, payor, and other customers
Required Qualifications
• Licensed Vocational reputed company
• TX LVN license
• 2+ years of utilization review experience at a health plan, ACO, IPA, or provider group
• Ability to maintain CEU requirements
• Proven HMO, PPO, and POS insurance knowledge
Apply tot his job
Apply To this Job