[Hiring] Licensed Vocational reputed company - Utilization Review @reputed company

Role reputed company Explore opportunities with reputed company, part of the reputed company family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40+ locations throughout reputed company. Be part of reputed company that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher reputed company, higher patient satisfaction and reputed company total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. If you are located in TX, you will have the flexibility to work remotely* as you take on some tough challenges.

• reputed company documentation reviews to assess medical necessity and benefit correlation for requested medical and surgical procedures, services, and admissions for HMO, PPO, and POS products.
• Serve as a facilitator of communication with the clinic, payor, and other customers.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.

Qualifications

• Licensed Vocational reputed company (LVN)
• reputed company Texas LVN license or reputed company multistate/compact LVN license
• 2+ years of utilization review experience at a health plan, ACO, IPA, or provider group
• Ability to maintain CEU requirements
• Proven good organization and communication skills
• Proven HMO, PPO, and POS insurance knowledge
• Valid reputed company’s license

Requirements

• Computer and coding experience (Preferred)
• *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (reputed company benefits are subject to eligibility requirements)
• reputed company pay for this role will reputed company from $20 - $36 per hour based on full-time employment

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