Arizona Licensed LPN Utilization Management

Job Summary

A company is looking for an LPN Utilization Management professional for a remote position.

Key Responsibilities

• Manage add or change requests and implement them in the letter generation system
• Create and review denial and appeal letters for compliance with regulatory requirements
• Perform internal Quality Control reviews and collaborate with business partners on letter template design

Required Qualifications

• Graduate from an accredited school of Nursing
• Current, unrestricted LPN license in the state of residence
• 2+ years of experience in utilization management or prior authorization review
• 1+ years of direct clinical patient care experience
• Experience with Microsoft Suite and knowledge of medical terminology