Health Services - Coordinator, Utilization Mgmt I
By Ampcus Inc At United States
Knowledge, Skills and Abilities (KSAs)
Two years’ experience in health care/managed care setting or previous work experience within division
·Knowledge of basic medical terminology and concepts used in managed care., Proficient
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Knowledge of CPT and ICD-10 coding.
·Excellent communication, organizational and customer service skills. , Proficient
Utilization Management Delegation Auditor (Lvn)- Remote
By Kelsey-Seybold Clinic At , Pearland, Tx $68,827 - $85,030 a year
Job Title: Utilization Management Delegation Auditor (LVN)
Required: Knowledge of state and federal Utilization review agent requirements and regulatory compliance requirements (CMS and TDI).
Ability to effectively present information and respond to questions from peers and management.
Utilization Review experience at a health plan or medical group
Healthcare claims payment experience or healthcare billing office Experience
Employee Reward and Recognition Program
Utilization Management Dept Trainer Lvn – Remote
By Kelsey-Seybold Clinic At , Pearland, Tx $63,107 - $77,938 a year
Utilization Management Dept Trainer LVN – KCA Utilization Management
Required: Licensed Vocational Nurse; CEU requirement
Required: Demonstrates verbal and written communication skills. Excellent organizational, presentation, analytical, problem solving, and facilitation skills
Required: Extensive working knowledge of Microsoft Office Products
Employee Reward and Recognition Program
Paid time off for vacation, sick, and holidays

Are you looking for a challenging and rewarding role as a Clinical LVN? We are seeking an experienced professional to join our team and help us provide top-notch utilization management services to our patients. As a Clinical LVN, you will be responsible for assessing patient needs, developing treatment plans, and monitoring patient progress. You will also be responsible for ensuring that all utilization management activities are conducted in accordance with applicable laws and regulations. If you are an experienced LVN with a passion for providing quality care, then this is the job for you!

Overview:

Utilization Management Clinical LVN is a professional who is responsible for the utilization management of health care services. This includes assessing the appropriateness of services, determining the most cost-effective services, and ensuring that services are provided in a timely and efficient manner.

Detailed Job Description:

Utilization Management Clinical LVN is responsible for the utilization management of health care services. This includes assessing the appropriateness of services, determining the most cost-effective services, and ensuring that services are provided in a timely and efficient manner. The Utilization Management Clinical LVN will also be responsible for coordinating care with other providers, developing and implementing utilization management plans, and providing education and support to providers and patients.

What is Utilization Mgmt Clinical Lvn Job Skills Required?

• Knowledge of health care services and utilization management
• Ability to assess appropriateness of services
• Ability to develop and implement utilization management plans
• Excellent communication and interpersonal skills
• Ability to coordinate care with other providers
• Ability to provide education and support to providers and patients
• Knowledge of medical terminology
• Knowledge of health care regulations and standards

What is Utilization Mgmt Clinical Lvn Job Qualifications?

• Licensed Vocational Nurse (LVN)
• Bachelor’s degree in Nursing or related field
• At least two years of experience in utilization management
• Knowledge of health care services and utilization management
• Knowledge of medical terminology
• Knowledge of health care regulations and standards

What is Utilization Mgmt Clinical Lvn Job Knowledge?

• Knowledge of health care services and utilization management
• Knowledge of medical terminology
• Knowledge of health care regulations and standards

What is Utilization Mgmt Clinical Lvn Job Experience?

• At least two years of experience in utilization management

What is Utilization Mgmt Clinical Lvn Job Responsibilities?

• Assess appropriateness of services
• Develop and implement utilization management plans
• Coordinate care with other providers
• Provide education and support to providers and patients
• Monitor utilization of services
• Ensure services are provided in a timely and efficient manner
• Monitor and report on utilization trends
• Ensure compliance with health care regulations and standards