LVN - Authorization Nurse: Utilization Review (Full-time, Monday - Friday, 8-5)

JOB SUMMARY

Under the supervision of the Case Management Director and Medical Director, the licensed LVN will be responsible to provide Authorization Review services to members identified in a primary, acute care setting or SNF.

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QUALIFICATIONS

Licensed LVN to perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.

SKILLS

· Demonstrate independent work ethic, decision making and problem-solving skills.

· Communicate professionally with all levels of health care physicians and hospital staff

· Respond to common inquiries from members, vendors, regulatory agencies, health plans, and members of the business community with excellent customer service skills.

· Ability to utilize clinical nursing skills including assessment, planning, evaluations, and outcomes.

· Ability to apply the nursing process.

· Problem-solve, negotiate and demonstrate independent decision-making

· Prioritize with excellent organizational skills, responding to multiple demands and timeliness

· Demonstrate professional written and verbal communication skills and presentation skills using the English language

· Twist, turn and utilize reaching motion, ability to sit and/or stand for extended periods of time

· Able to work independently.

· Has knowledge of industry standards and expectations.

· Has knowledge of commonly used concepts, practices and procedures within this field.

· Excellent verbal and written skills.

Computer literate with knowledge of Excel/Word.

Other

Indirect patient care - business office setting (not remote)

Salaried position

Monday - Friday Business office setting, 8 am - 5 pm

Job Type: Full-time

Pay: $60,000.00 - $75,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Experience:

• LVN: 3 years (Required)

License/Certification:

• LVN License (Required)

Location:

• Fresno, CA 93720 (Preferred)

Ability to Commute:

• Fresno, CA 93720 (Required)

Work Location: In person