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Utilization Mgmt Clinical Lvn Jobs in Texas

Mgr Utilization Mgmt Jobs
By Texas Children's Hospital At , Houston, 77001, Tx
5 years' experience in clinical and/or managed care required
Oversee and develop the processes and procedures for Utilization Management unit of the health plan
Assess trends for future opportunity for improvement in utilization management
5 years' experience in pediatrics preferred
Bachelor's degree in nursing required
RN license from the Texas Board of Nursing or the Nursing Licensure Compact required
Utilization Management Lvn Nurse
By Conifer Value At , Frisco, Tx
Experience working in a health plan medical management documentation system a plus
Identifies and refers members to the appropriate healthcare program (e.g. case management, disease management).
All other job-related duties as it relates to the job function or as delegated by management.
2 years managed care experience in UM/CM Department, preferred
Include minimum education, technical training, and/or experience preferred to perform the job.
Proper identification of eligibility and health plan benefits

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