Prior Authorization LVN - Utilization Management - Position #2022-404

PRIOR AUTHORIZATION LVN - UTILIZATION MANAGEMENT - Position #2022-404

Date Posted:
Classification:
Administrative
Type
Full Time
Location
OPEN UNTIL FILLED Redlands Monday - Friday 8:00a.m. - 5:00p.m.

Job Description

The Prior Authorization LVN ensures that prior authorization requests from patients and providers are completed in a timely fashion to meet the contractual and regulatory requirements while acting within the scope of the Board of Vocational Nursing and Psychiatric Technicians of the State of California. The Prior Authorization LVN will promote the quality and cost effectiveness of medical care provided to patients by applying clinical acumen and using appropriate nationally recognized guidelines, criteria, and evidence based standards. Also assists UM management and Compliance team in preparation for audits and other regulatory activities as needed.

Qualifications

High School Diploma or equivalent. Graduation from an accredited LVN school of nursing, or have completed coursework allowing candidate to challenge the VN Board of Nursing and attain LVN designation. Two years clinical experience in an acute or ambulatory patient care setting including one year in a managed care environment such as a medical group, independent physician association, or health plan is required.

Beaver Medical Group requires all new hires and employees to report their COVID-19 vaccination status

Applications must be complete and demonstrate that the minimum qualifications are met. Resumes may be attached to completed application form as supplemental information, but will not be accepted in lieu of an official application form. Applications will be screened and the most qualified candidates who best match the needs of the position will be invited to compete further in the recruitment process.  Due to the large volume of applications received, we are unable to track for individual applications or discuss the application process.

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