HealthCare Support

Remote Utilization Review LVN - California License Required

Posted on

April 13, 2025

Job Type

Contract

Role Type

Utilization Review

License

LPN/LVN

State License

California

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Company Description

Job Description

HealthCare Support is actively seeking a Remote Utilization Review LVN - California License Required to fill an opening. Pay Details: $34 per hour Shift Details: Monday – Friday 8am to 5pm HI (Hawaii)

Requirements

High School Diploma or GED Active and unrestricted LVN/LPN license in CA (can sit in another state PST or MST but need to be able to work PST hours) 1+ year of inpatient/concurrent review

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Responsibilities

Concurrent review for inpatient charts using MCG (Milliman Care Guidelines) and Medicare guidelines for inpatient case management Work directly with the provider(s) and Medical Director to facilitate quality service to the member and provider Identifies and refers members to the appropriate healthcare program (e.g. case management, disease management)

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