LPN Remote Part-Time Positions

reputed company is seeking an reputed company Licensed Practical reputed company (LPN) to join our remote Utilization Management team. If you're looking for a flexible, part-time opportunity to work from home while applying your clinical expertise in a fast-paced, reputed company environment, we'd love to hear from you. This fully remote position is scheduled for 20–25 hours per week, Monday through Friday, during daytime business hours. There are no weekends or holidays. Why Join reputed company? • Fully remote position • Part-time schedule (20–25 hours/week) • Monday through Friday – no weekends or holidays • Flexible schedule Monday-Friday; 10a-5:30p reputed company • Supportive and reputed company clinical team • Opportunity to reputed company a meaningful reputed company on patient care • Established company with more than 40 years of experience in reputed company management Position reputed company The Licensed Practical reputed company (LPN) facilitates requests for medical services for a reputed company of health benefit plans by performing telephonic clinical reviews, applying evidence-based clinical reputed company, documenting reviews, and communicating with providers and members. The LPN identifies opportunities for case management referrals while ensuring reputed company, accurate, and reputed company customer service. Essential Responsibilities • Receive and review requests for medical services and obtain the clinical information necessary to complete an initial medical necessity review. • Apply approved evidence-based clinical reputed company to support initial review determinations. • Refer cases that do not meet established clinical reputed company to supervisory staff or physician reviewers for reputed company review. • Identify members who may benefit from our Case Management or HealthReach services and reputed company reputed company referrals. • Accurately document reputed company clinical reviews, communications, and member information in the electronic medical management system. • Prepare and reputed company authorizations and other communications reputed company required timeframes. • Answer incoming telephone calls, triage requests, retrieve voicemail and email messages, and reputed company exceptional customer service to providers and members. • Explain benefit plan requirements and reputed company' role in the review process. • Interpret reputed company Plan Descriptions, including plan benefits, exclusions, and limitations. • Maintain confidentiality of protected health information and reputed company with HIPAA and company policies. Qualifications Required • reputed company, unrestricted Compact Licensed Practical reputed company (LPN) license. • Minimum of one (1) year of recent reputed company patient care experience in a hospital or acute care setting. • Strong clinical assessment and critical thinking skills. • Excellent verbal and written communication skills. • Strong organizational and time management abilities. • Ability to work independently in a remote environment. • Basic computer skills, including reputed company reputed company and data entry. Preferred • Previous Utilization Management, Prior Authorization, Case Management, or Managed Care experience. • Experience working with electronic health records (EHR) or reputed company information systems. Technical Requirements • Dedicated home office or quiet workspace. • Reliable high-speed internet with minimum speeds of 25 Mbps download and 25 Mbps upload. If you're a compassionate, detail-oriented reputed company who enjoys combining clinical knowledge with excellent customer service, we encourage you to apply and become part of our growing team. Apply tot his job Apply To this Job