HN58
HN58 – LPN/LVNWould you like to work for one of the most respected health care systems in the nation? We have a temp-to-hire opportunity for an LVN Precertification Nurse. The work schedule is Monday-Friday 8am-5pm. The potential salary is between $17.00-19.23 per hour. Job Scope: LVN is responsible for: Analyzing clinical information submitted by medical providers to evaluate the necessity, appropriateness and efficiency of the use of medical services procedures and facilities. Clinical review of all requested services for appropriateness based on clinical criteria. Performs selected member calls Read more […]
HN58
HN58 – LPN/LVNSUMMARY Works primarily with healthcare providers to help ensure appropriate and consistent administration of plan benefits through collecting clinical information required to assess medical necessity, out of network services, and appropriateness of treatment setting and applying appropriate medical policies, clinical guidelines, plan benefits, and scripted algorithms within scope of licensure. This level works with more complex elements and requires review of more complex benefit plans. May also serve as a resource to less experienced staff. Examples of such functions may include: Read more […]