Licensed Vocational Nurse

2 weeks ago


Richmond County, United States NavitsPartners Full time
Job DescriptionJob Description

Licensed Vocational Nurse - LVN - ASAP Start

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Responsibilities:

  • Appropriate selection of the preferred and contracted providers
  • Proper identification of eligibility and health plan benefits
  • Proper coding to trigger the record to be routed to a different work queue or to trigger the proper determination notice to be sent out
  • Responsible for maintaining compliance in turnaround time requirements as mandated by the ICE TAT Standards
  • Responsible for working closely with manager to address issues and delays that can cause a failure to meet or maintain compliance.
  • Meets or exceeds production and quality metrics.

EDUCATION / EXPERIENCE

  • Minimum Education: LVN
  • Preferred Education: BA or BS in Nursing
  • Minimum Experience: 3 to 5 years of acute care experience
  • 2 Years Health Plan Utilization Review or equivalent work
  • Preferred Experience: 5 years Health Plan Utilization Review and 5 years Acute Care
  • Experience with 1 year ICU / ER


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