WelbeHealth
Healthcare
UtilizationManagementLVN
“Utilization Management LVN at WelbeHealth. Skills: Utilization management, Chart auditing, Authorization requests. Audit authorization requests. Audit consult summaries”
Industry & Context.
What They're Looking For.
Must Have
1 year chart auditing experience, 1 year UM review experience, Unencumbered LVN licensure
Nice to Have
Medicare UM regulations knowledge, Medicaid UM regulations knowledge
What You'll Do.
Audit authorization requests
Audit consult summaries
Audit imaging results
Audit procedure summaries
Determine follow up services
Oversee clinical inboxes
Oversee email inboxes
Handle authorization requests
Identify inconsistencies in charts
Document inconsistencies in charts
Correct inconsistencies in charts
Identify gaps in charts
Document gaps in charts
Correct gaps in charts
Review prior authorization requests
Ensure medical necessity
Ensure alignment with care plans
Applying for this Utilization Management LVN role?
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ANONYMOUS · UNFILTERED
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