Job Summary
A company is looking for an LVN, UM Delegation Oversight - Remote.
Key Responsibilities
- Prepare and submit pre-audit documentation as per Health Plan audit tools
- Communicate with Health Plan auditors regarding audit documents and processes
- Facilitate compliance audit reviews to ensure adherence to regulatory requirements
Required Qualifications
- Graduation from an accredited Licensed Vocational/Practical Nurse program
- Current LVN/LPN license
- 2+ years of clinical experience as an LVN/LPN
- 1+ years of utilization management experience, particularly in Prior Authorization
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