Clinical Study Publications, Corporate Policies, Licensed Practical Nurse/Licensed Vocational Nurse, Maintain Compliance, Medicaid, Patient Care Authorizations, Utilization Management
| REMOTE | REMOTE | REMOTE |
Pay Range: $42-43/hr
LVN with Utilization Management experience in California
Wed–Sun 8 AM – 5 PM PST
Responsibilities:
- Review outpatient prior authorization requests
- Assess clinical documentation for medical necessity
- Apply MCG/Medicaid guidelines
- Ensure compliance with CA and company policies
Benefits:
The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance, long-term disability insurance, short-term disability insurance, paid parking/public transportation, (paid time , paid sick and safe time , hours of paid vacation time, weeks of paid parental leave, paid holidays annually - AS Applicable)