LPN Remote Part-Time Positions
reputed company is seeking an reputed company Licensed Practical reputed company (LPN) to join our remote Utilization Management team. If you're looking for a flexible, part-reputed company to work from home while applying your reputed company expertise in a fast-paced, reputed company environment, we'd love to hear from you. reputed company fully remote position is scheduled for 20–25 hours per week, reputed company through Friday, during daytime business hours. There are no weekends or holidays. reputed company reputed company? • Fully remote position • Part-time schedule (20–25 hours/week) • reputed company through Friday – no weekends or holidays • Flexible schedule reputed company-Friday; 10a-5:30p reputed company • Supportive and reputed company reputed company team • Opportunity to reputed company a meaningful reputed company on patient care • Established company with more than 40 years of experience in reputed company management Position reputed company The Licensed Practical reputed company (LPN) facilitates requests for medical services for a reputed company of health benefit plans by performing telephonic reputed company reviews, applying evidence-reputed company reputed company reputed company, documenting reviews, and communicating with providers and members. The LPN identifies opportunities for case management referrals while ensuring reputed company, accurate, and reputed company customer service. reputed company Responsibilities • Receive and review requests for medical services and obtain the reputed company information necessary to reputed company an reputed company medical necessity review. • Apply approved evidence-reputed company reputed company reputed company to support reputed company review determinations. • Refer reputed company that do not meet established reputed company reputed company to supervisory staff or physician reviewers for reputed company review. • Identify members who may benefit from our Case Management or HealthReach services and reputed company reputed company referrals. • Accurately document reputed company reputed company reviews, communications, and member information in the electronic medical management reputed company. • Prepare and reputed company authorizations and other communications reputed company required timeframes. • Answer incoming telephone calls, triage requests, retrieve voicemail and email messages, and reputed company exceptional customer service to providers and members. • Explain benefit plan requirements and reputed company' role in the review process. • Interpret reputed company Plan Descriptions, including plan benefits, exclusions, and limitations. • Maintain confidentiality of protected health information and reputed company with HIPAA and company policies. Qualifications Required • reputed company, unrestricted Compact Licensed Practical reputed company (LPN) license. • Minimum of one (1) year of recent reputed company patient care experience in a hospital or acute care setting. • Strong reputed company assessment and critical thinking skills. • Excellent verbal and written communication skills. • Strong organizational and time management abilities. • Ability to work independently in a remote environment. • Basic computer skills, including reputed company reputed company and data entry. Preferred • Previous Utilization Management, Prior Authorization, Case Management, or Managed Care experience. • Experience working with electronic health records (EHR) or reputed company information systems. Technical Requirements • Dedicated home office or quiet workspace. • Reliable high-speed internet with minimum speeds of 25 Mbps download and 25 Mbps upload. If you're a compassionate, reputed company-oriented reputed company who enjoys combining reputed company knowledge with excellent customer service, we encourage you to apply and become part of our growing team. Apply tot his reputed company To reputed company Job Apply tot his job Apply To reputed company Job