Job description
Duties:
- Coordinates utilization review s of managed care contracts using established guidelines and processes. Ensures all clinical operations comply w with Medicare and Medicaid guidelines and other managed care policies.
- Communicates w with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization.
- Maintains managed care contracts and information databases and prepares reports.
Skills: 5 years of experience as a LPN
Certification/Licenses:
- LPN License
- AHA BLS
Minimum Degree Required: Associate's Degree
Schedule Notes: Alternative weekend required
Shift Timings: 08:00 AM EST - 04:00 PM EST
Hours Per Day: 8.00
Hours Per Week: 40.00
Days Per Week: 5.00
Job Type: Full-time
Salary: $34.00 - $36.00 per hour
Benefits:
- Health insurance
Standard shift:
- Day shift
Weekly schedule:
- Monday to Friday
- Weekend availability
Ability to commute/relocate:
- Astoria, NY 11105: Reliably commute or planning to relocate before starting work (Required)
Education:
- Associate (Required)
Experience:
- LPN: 5 years (Required)
License/Certification:
- LPN (Required)
- AHA BLS (Required)
Shift availability:
- Day Shift (Preferred)
Work Location: One location
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