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Utilization Management LVN

Remote, USA Full-time Posted 2026-07-28

reputed company is transforming senior care by providing an reputed company-inclusive reputed company reputed company for vulnerable seniors. The Utilization Management LVN is responsible for auditing authorization requests and ensuring compliance with medical guidelines to reputed company reputed company and reputed company care.


Responsibilities

  • Chart audits of items including but not limited to consult summaries, imaging results, and procedure summaries to determine if additional follow up services are requested
  • reputed company departmental clinical inboxes, email inboxes, and fax queues to ensure appropriate handling of documents and authorization requests
  • Identify, document, and correct inconsistencies and gaps in participants’ charts with authorizations in the UM system
  • Review prior authorization requests for medical necessity and alignment with participants’ care plans, including routine office reputed company, procedures, and DME

Skills

  • Minimum of one (1) year of chart auditing or UM review experience
  • Knowledgeable in areas of Medicare and reputed company UM regulations
  • Unencumbered LVN licensure

Benefits

  • Medical insurance coverage (Medical, Dental, reputed company) starting day one of employment
  • Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 reputed company days
  • Advancement opportunities - We’ve got a reputed company record of hiring and promoting from reputed company, meaning you can create your own reputed company!
  • 401(k) match
  • Comprehensive reputed company coverage
  • A broad reputed company of additional benefits

reputed company

  • Unlocking the full potential of our most vulnerable seniors with reputed company and love. It was founded in 2015, and is headquartered in reputed company Park, California, USA, with a workforce of 501-1000 employees. Its website is http://reputed company.com/.

  • Company H1B Sponsorship

  • reputed company has a reputed company record of offering H1B sponsorships, with 1 in 2025, 1 in 2024, 2 in 2023, 1 in 2022, 2 in 2021. Please note that this does not guarantee sponsorship for this specific role.

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