Remote LVN Utilization Review Nurse

A company is looking for a Remote LVN Utilization Review Nurse.Key ResponsibilitiesConducts retrospective clinical reviews using InterQual guidelines for medical necessityFollows documented processes for the clinical appellate process and adheres to productivity and quality goalsPerforms follow-up on initial denials and ensures accurate diagnosis and procedure codingRequired Qualifications, Training, and EducationHigh School Diploma or equivalent requiredCompletion of an accredited RN or LVN program requiredMinimum of 3 years clinical practice experience required2 years of utilization management and / or case management experience requiredActive, unrestricted State Registered Nursing license or Licensed Vocational Nursing license in good standing required