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Licensed Practical Nurse
1 month ago
Licensed Practical Nurse-Utilization Review
Job ID #1586017
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About this Role
As a Licensed Practical Nurse (LPN), you are responsible for assessing patient needs, developing care plans, coordinating medical services, advocating for patients, and providing education and support. You will often serve as a liaison between healthcare providers, insurers, and community resources to optimize patient outcomes and ensure continuity of care throughout the healthcare journey. LPNs also play a vital role in managing healthcare costs and resources effectively.
Job details
$23.36 / hour
Cameron County, Texas
New
Profession:
Licensed Practical Nurse
Facility Type:
???
Specialty:
Utilization Review
Division:
MedFi
Start Date:
08/12/2024
Apply
Responsibilities
Maintain accurate and up-to-date medical records, documenting patient assessments, care interventions, medications administered, and other relevant information
Participate in quality improvement initiatives aimed at enhancing the delivery of care, improving patient outcomes, and ensuring compliance with quality standards
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review
Provide clinical knowledge and act as a clinical resource to non-clinical team staff
Collaborate with various staff within provider networks and discharge planning team to coordinate member care
Required Qualifications
• 1+ years case worker experience - Working with the adult, blind and disabled community over the age of 21
• Strong computer skills - MS office
• LVN, LPN, or LCSW required
• Bilingual preferred