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