LPN Care Review Clinician
A company is looking for a Care Review Clinician LPN / LVN.
Key Responsibilities
- Assess services for members to ensure optimum outcomes and compliance with regulations
- Analyze clinical service requests against evidence-based clinical guidelines
- Conduct reviews for prior authorization and collaborate with multidisciplinary teams
Required Qualifications
- At least 2 years of healthcare experience in relevant areas
- Active and unrestricted clinical licensure required by state regulations
- Ability to prioritize and manage multiple deadlines
- Proficiency in Microsoft Office suite and applicable software programs
- Experience in Hospital Acute Care, ER or ICU, and Utilization Review preferred